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NPI Code Detail

MEDICARE: LINDSAY KUCKER CT, RBT

MEDICARE: LINDSAY KUCKER CT, RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorC.2507360-TRNEOH

General Provider Information

NPI Number : 1669247136
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY KUCKER CT, RBT
Provider Business Mailing Address
First Line : 1925 HAYES AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4737
Country : US
Telephone Number : 419-557-5177
Fax Number : 419-557-5179
Provider Business Practice Location Address
First Line : 1925 HAYES AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4737
Country : US
Telephone Number : 419-557-5177
Fax Number : 419-557-5179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2023
Last Update Date : 03/04/2026

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1972758878 — MR. JEREMY MICHAEL CHERRY MFT, PC
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