| Doctor Name: | MS. AMANDA CRYSTAL TUCK |
| NPI Number: | 1245527647 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T. |
| License Number: | 12206 |
| Business Practice Address: | 5672 W Broad St Galloway, OH - 431198127 |
| Business Phone Number: | 6148789000 |
| Business Fax Number: | 6148788881 |
| Mailing Address: | 5672 W Broad St, GALLOWAY |
| State: | OH |
| Postal Code: | 431198127 |
| Phone Number: | 6148789000 |
| Fax Number: | 6148788881 |
| NPI Enumeration Date: | 07/06/2011 |
| NPI Last Update Date: | 11/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 12206 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| 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 |