| Doctor Name: | HAILEY TUCKER |
| NPI Number: | 1396124277 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 012484 |
| Business Practice Address: | 4210 Telegraph Ln Vermilion, OH - 440893748 |
| Business Phone Number: | 4409671800 |
| Business Fax Number: | |
| Mailing Address: | 860 Livermore Ln, ELYRIA |
| State: | OH |
| Postal Code: | 440353012 |
| Phone Number: | 4403151289 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2015 |
| NPI Last Update Date: | 05/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 012484 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |