MR. Jonathan Tucker, LAT

NPI #1417470337 in Azle, Texas

Provider Information

NPI Number
1417470337
Entity Type
Individual
Name
MR. Jonathan Tucker, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT
Enumeration Date
Jul 23, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
1801 S STEWART ST
City
Azle
State
Texas
ZIP Code
76020-3068
Phone
(817) 253-5820

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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