Individual provider · Type 1 NPI

Leonard Tucker Iii, PTA

Physical Therapy Assistant · Memphis, TN

NPI number 1114595865 Active

Practice location

6500 Kirby Gate Blvd
Memphis, TN 38119-2673

Mailing address

2384 Heather Rdg
Southaven, MS 38672-9274

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06738 (TN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1114595865

Leonard Tucker Iii, PTA's National Provider Identifier is 1114595865, issued on Jun 17, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Memphis, TN. The record was last updated on Jun 17, 2021.