Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH A TUCKER, P.T.
Active Sole ProprietorMR. KENNETH A TUCKER, P.T. is a Physical Therapy Assistant healthcare provider located in SAN RAFAEL, California. NPI 1225006430 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1225006430
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.237345554952 yrs)
- Last Updated
- Aug 10, 2010
- License
-
PT006218 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
711 D ST#102SAN RAFAEL, CA, 949013707Browse CA providers · Browse ZIP 94901
- Phone
- 4154563551
- Fax
- 4154577260
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| MR. ANDREW EDWARD KELLY | P.T. | 1871593004 |
| MR. JOHN CHRIS BESONIS | P.T. | 1982605903 |
| MRS. KAYLIN JAIE MORDOCK | P.T. | 1386626505 |
| ANNE B. SNYDER | PHYSICAL THERAPIST | 1093811333 |
| MRS. HEATHER WILLIAMS NEELY | PT | 1760557300 |
| MR. MARC F LUM | P.T. | 1205901543 |
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.