Healthcare Provider Details

I. General information

NPI: 1417268293
Provider Name (Legal Business Name): DAVE W. TUCK, DC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 09/02/2025
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W SOUTH BOULDER RD STE 4
LOUISVILLE CO
80027-1674
US

IV. Provider business mailing address

333 W SOUTH BOULDER RD STE 4
LOUISVILLE CO
80027-1674
US

V. Phone/Fax

Practice location:
  • Phone: 720-457-9509
  • Fax:
Mailing address:
  • Phone: 720-457-9509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6262
License Number StateTX

VIII. Authorized Official

Name: DR. DAVE TUCK
Title or Position: OWNER
Credential: DC
Phone: 903-814-5283