Individual
TASHA NICOLE ENJOLI TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 HASKELL AVE, KANSAS CITY, KS 66104-3646
(913) 621-1871
Mailing address
3620 HASKELL AVE, KANSAS CITY, KS 66104-3646
(913) 621-1871
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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