| Doctor Name: | BETHANY L TUCKER |
| NPI Number: | 1093814485 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | PT3176 |
| Business Practice Address: | 840 Hammond St Ste 2 Bangor, ME - 044014339 |
| Business Phone Number: | 2074337778 |
| Business Fax Number: | 8662205031 |
| Mailing Address: | 100 St Louis Ave, HERMON |
| State: | ME |
| Postal Code: | 044010874 |
| Phone Number: | 2079917412 |
| Fax Number: | 8662205031 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 03/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT3176 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |