Tucker, Christy L

Tucker, Christy L is an sole proprietor health care provider with primary practice located at 2860 I-55 Service Rd Ste C, Marion AR 72364. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Tucker, Christy L can be contacted via phone (870) 739-8686.

Contact Information

Primary practice address
2860 I-55 Service Rd Ste C Marion AR 72364
Phone: (870) 739-8686
Fax: (870) 739-8656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA2591 Arkansas

Profile Details

NPI number 1316206097
LBN Legal business name Tucker, Christy L
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2012
Last updated Aug 7th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316206097 NPPES
Arkansas MEDICAID 192038721

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