Doctor Name: | ALBA TUCKER |
NPI Number: | 1871809384 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MT |
License Number: | 714 |
Business Practice Address: | 18200 Yorba Linda Blvd Suite 308 Yorba Linda, CA - 928864056 |
Business Phone Number: | 7145776031 |
Business Fax Number: | 7145722562 |
Mailing Address: | 18200 Yorba Linda Blvd, Suite 401 YORBA LINDA |
State: | CA |
Postal Code: | 928864056 |
Phone Number: | 7146468000 |
Fax Number: | 7145722562 |
NPI Enumeration Date: | 08/20/2010 |
NPI Last Update Date: | 08/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 714 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |