Bethany L Tucker in Hermon - Physical Therapist

Bethany L Tucker - NPI 1093814485

Bethany L Tucker is a Physical Therapist in Hermon, Maine. Bethany L Tucker practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Bethany L Tucker is 1093814485. The last update date is 2013-03-13.

Bethany L Tucker's current location address is 100 St Louis Ave, Hermon, Maine. You can contact this provider via phone number 2079917412 and fax number 8662205031. The mailing address for Bethany L Tucker is 100 St Louis Ave, Hermon, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Bethany L Tucker
Address 100 St Louis Ave, Hermon, Maine
Phone Number 2079917412
Fax Number 8662205031
Sole Proprietor Y
Credentials PT, DPT

NPI Number Detail

NPI Number 1093814485
Provider Enumeration Date 2006-09-21
Last Updated Date 2013-03-13

Provider Mailing Address Detail

Address 100 St Louis Ave
City Hermon
State Maine (ME)
Post Code 44010874
Phone Number 2079917412
Fax Number 8662205031

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT3176
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PT3176 ME PT LICENSE
P00369309 ME RAILROAD MEDICARE
99276 ME BLUE CROSS & BLUE SHIELD

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FAQs about Bethany L Tucker

What is the unique 10-digit identification code assigned to Bethany L Tucker by the Centers for Medicare & Medicaid Services?

The Bethany L Tucker has been issued the NPI (National Provider Identifier) 1093814485, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Bethany L Tucker's facilities are geographically located?

The facilities of Bethany L Tucker are physically situated at the following location: 100 St Louis Ave, Hermon, ME, 44010874.

What is Bethany L Tucker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Bethany L Tucker is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.

On what date did the Bethany L Tucker receive its 1093814485 assignment from the Centers for Medicare & Medicaid Services?

The Bethany L Tucker was assigned its 1093814485 by the Centers for Medicare & Medicaid Services on 2006-09-21.

As of what date were the details related to Bethany L Tucker most recently updated or revised?

The information pertaining to Bethany L Tucker, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-13.

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