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Mr. Jacob L. Tucker, LMP
Massage Therapist in Walla Walla, Washington
NPI 1003130857

Jacob L. Tucker is a Massage Therapist based in Walla Walla, WA. Jacob L. Tucker practices in Walla Walla, WA and has the professional credentials of LMP. The NPI Number for Jacob L. Tucker is 1003130857 and holds a License No. MA 00019702 (Washington).

The current practice location address for Jacob L. Tucker is 903 S Howard St, Walla Walla, WA and can be reached out via phone at 509-525-4160 and via fax at 509-522-9921.

Location: 903 S Howard St, Walla Walla, WA, 99362-3326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003130857
Provider Name
Jacob L. Tucker
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
903 S Howard St, Walla Walla, WA, 99362-3326
Phone Number
509-525-4160
Fax Number
509-522-9921
Provider Enumeration Date
03/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
903 S Howard St
City
Walla Walla
State
Washington
Zip
99362-3326
Phone Number
509-525-4160
Fax Number
509-522-9921
person
Provider Business Mailing Address Details
Address
903 S Howard St
City
Walla Walla
State
Washington
Zip
99362-3326
Phone Number
509-525-4160
Fax Number
509-522-9921
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA 00019702 (Washington)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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