Individual provider · Type 1 NPI

Linda Kettner Tucker, PHYSICAL THERAPIST

Pediatric Physical Therapist · Mequon, WI

NPI number 1932342011 Active

Practice location

5000 Mequon Road
Mequon, WI 53092

Mailing address

13345 N Windsor Ct
Mequon, WI 53097-2018

Specialties and licenses

TaxonomyCodeLicense
Geriatric Physical Therapist 2251G0304X1294-024 (WI)
Pediatric Physical Therapist Primary 2251P0200X12944-024 (WI)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1932342011

Linda Kettner Tucker, PHYSICAL THERAPIST's National Provider Identifier is 1932342011, issued on Apr 20, 2009. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Mequon, WI. The record was last updated on Apr 20, 2009.