NPI 1003130857

Jacob L. Tucker, LMP

Practitioner Massage Therapist Walla Walla, WA

Practice location

Address: 903 S Howard St, Walla Walla, WA 99362-3326
Phone: (509) 525-4160
Fax: (509) 522-9921

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA 00019702 (WA)

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Registry record

NPI: 1003130857
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Mar 2010
Record last updated: 18 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.