Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CERISSE TUCKER, PTA
Active Sole ProprietorCERISSE TUCKER, PTA is a 3140N1450X healthcare provider located in MAPLE HEIGHTS, Ohio. NPI 1043602998 is currently active in the NPPES registry. Verify at CMS.
3140N1450X · MAPLE HEIGHTS, OH
Registration Details
- NPI Number
- 1043602998
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2015 (11.496177066888 yrs)
- Last Updated
- Mar 2, 2015
- Licenses
-
09429 (OH)09429 (OH)09429 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15604 STEINWAY BLVDMAPLE HEIGHTS, OH, 441374629Browse OH providers · Browse ZIP 44137
- Phone
- 2163261109
- Primary Specialty
-
3140N1450X
3140N1450X
- Additional Specialty
- Health Maintenance Organization
- Additional Specialty
- 3140N1450X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.