MR. Jacob L. Tucker, LMP

NPI #1003130857 in Walla Walla, Washington

Provider Information

NPI Number: 1003130857
Entity Type: Individual
Name: MR. Jacob L. Tucker, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Mar 23, 2010
Last Updated: Apr 18, 2014

Practice Location

Address: 903 S HOWARD ST
City: Walla Walla
State: Washington
ZIP Code: 99362-3326
Phone: (509) 525-4160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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