Individual
MR. MATTHEW WILLIAMSON TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
92 HENDLEY ST APT 3, SANTA ROSA, CA 95404-5065
(714) 329-2503
Mailing address
92 HENDLEY ST APT 3, SANTA ROSA, CA 95404-5065
(714) 329-2503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
99367
CA
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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