MRS. Mellisa J Tucker, PTA

NPI #1780831560 in Kimberling City, Missouri

Provider Information

NPI Number: 1780831560
Entity Type: Individual
Name: MRS. Mellisa J Tucker, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 22, 2008
Last Updated: Aug 22, 2008

Practice Location

Address: 276 FOUNTAIN LN
City: Kimberling City
State: Missouri
ZIP Code: 65686-9356
Phone: (417) 739-2481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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