Individual
HARRISON MCCARTNEY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6250 EXCELSIOR BLVD STE 103, SAINT LOUIS PARK, MN 55416-2735
(763) 614-0363
Mailing address
6700 RICHFIELD PKWY APT 326, RICHFIELD, MN 55423-7523
(715) 501-8930
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00055236
MN
Other
Enumeration date
12/26/2021
Last updated
12/26/2021
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