NPI 1780831560

Mellisa J Tucker, PTA

Practitioner Physical Therapy Assistant Kimberling City, MO

Practice location

Address: 276 Fountain Ln, Kimberling City, MO 65686-9356
Phone: (417) 739-2481
Mailing address: PO Box 1397, Kimberling City, MO 65686-1397

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2001000054 (MO)

Other Physical Therapy Assistant providers in Missouri →

Registry record

NPI: 1780831560
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2008
Record last updated: 22 Aug 2008

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.