Mr. Jacob L. Tucker
Massage Therapist
903 S Howard St
Walla Walla
, Washington 99362-3326
Mr. Jacob L. Tucker
Massage Therapist
903 S Howard St
Walla Walla
, Washington 99362-3326
(509) 522-9921
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mr. Jacob L. Tucker
- 903 S Howard St
- Walla Walla, WA
- Zip : 99362-3326
- Fax : (509) 522-9921
- Phone : (509) 525-4160
Second Address
- Mr. Jacob L. Tucker
- 903 S Howard St
- Walla Walla, WA
- Zip : 99362-3326
- Fax : (509) 522-9921
- Phone : (509) 525-4160
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 00019702 | WA |
National Provider Identifier
| NPI | 1003130857 |
|---|---|
| Provider Name | Mr. Jacob L. Tucker |
| First Address | Walla Walla, WA 99362-3326 |
| Second Address | Walla Walla, WA 99362-3326 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2010 |
| Last Update Date | 18/04/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.