Individual provider · Type 1 NPI

Ethan Tucker, LMT

Massage Therapist · Gahanna, OH

NPI number 1700580826 Active

Practice location

428 Beecher Rd Ste B
Gahanna, OH 43230-4562

Call (614) 855-5533 Map

Fax (614) 855-5566

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X33.025407 (OH)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1700580826

Ethan Tucker, LMT's National Provider Identifier is 1700580826, issued on Mar 30, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gahanna, OH. The record was last updated on Mar 30, 2023.