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General NPI Number Information
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NPI Number | 1639081557
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Entity Type | Organization
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Legal Business Name | TUCKER PHYSICAL THERAPY & WELLNESS, INC.
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 5328 STATE AVE
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City | SACRAMENTO
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State | CA
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Zip | 95819-1738
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Country | US
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Telephone | 831-359-8779
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Fax |
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Provider Business Mailing Address
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Address Line | 5328 STATE AVE
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City | SACRAMENTO
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State | CA
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Zip | 95819-1738
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Country | US
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Telephone | 831-359-8779
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ERIN TUCKER
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Credential | PT, DPT
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Telephone | 831-359-8779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | NULL
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