Individual provider · Type 1 NPI

Madison Tucker, LMT

Massage Therapist · Charleston, WV

NPI number 1770359762 Active

Practice location

4710 Chimney Dr Ste D
Charleston, WV 25302-4841

Call (304) 965-2458 Map

Fax (304) 965-2258

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2023-4043 (WV)

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 1770359762

Madison Tucker, LMT's National Provider Identifier is 1770359762, issued on Nov 30, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Charleston, WV. The record was last updated on Nov 30, 2023.