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Individual

MEREDITH TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
961 240TH ST, FORT SCOTT, KS 66701-1674
(913) 406-8040
(515) 864-0150
Mailing address
961 240TH ST, FORT SCOTT, KS 66701-1674
(913) 406-8040

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03770
KS

Other

Enumeration date
06/12/2007
Last updated
07/12/2017
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