| Doctor Name: | JEFFREY ALAN TUCKER |
| NPI Number: | 1982725230 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | PT 12440 |
| Business Practice Address: | 1400 Se Goldtree Dr Suite 205 Port St Lucie, FL - 349527582 |
| Business Phone Number: | 7723357966 |
| Business Fax Number: | 7723357963 |
| Mailing Address: | 1400 Se Goldtree Dr, Suite 205 PORT ST LUCIE |
| State: | FL |
| Postal Code: | 349527582 |
| Phone Number: | 7723357966 |
| Fax Number: | 7723357963 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 06/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 12440 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |