Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JONATHAN TUCKER, LAT
Active Sole ProprietorMR. JONATHAN TUCKER, LAT is a Athletic Trainer healthcare provider located in AZLE, Texas. NPI 1417470337 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · AZLE, TX
Registration Details
- NPI Number
- 1417470337
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 23, 2017 (9.0800695248821 yrs)
- Last Updated
- Jul 21, 2022
- License
-
AT5626 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1801 S STEWART STAZLE, TX, 760203068Browse TX providers · Browse ZIP 76020
- Phone
- 8172535820
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in AZLE, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. TIFFANY SHAW | LAT, C.PH.T | 1689027039 |
| CHRISTOPHER DILLON BAGWELL | — | 1821593930 |
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.