Individual
BRENDA GALE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3148 SOUTHGATE CIRCLE, SOUTHGATE MASSAGE & WELLNESS CENTER, SARASOTA, FL 34239
(941) 350-9178
Mailing address
4001 BENEVA RD, UNIT 407, SARASOTA, FL 34233
(941) 350-9178
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA20927
FL
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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