MR. GARRY LANE TUCKER (NPI# 1710221320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710221320 |
| Entity Type | Individual |
| Full Name | MR. GARRY LANE TUCKER |
| Credential | P.T. |
| Practice Address |
813 S Main St Brownsville KY 42210-9009 |
| Mailing Address |
280 Moorman Ln Bowling Green KY 42101-0711 |
| Practice Telephone | 2705972335 |
| Mailing Telephone | 2707921261 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
003618 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
813 S MAIN ST |
| City | BROWNSVILLE |
| State | KY |
| Zip Code | 42210-9009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662969 | Tri-county Health Care, Inc. | Skilled Nursing Facility | 813 S Main St, Brownsville, KY 42210-9009 | 2005-07-11 |
| 1770072241 | Brittany Lynn Bryant | Occupational Therapy Assistant | 813 S Main St, Brownsville, KY 42210-9009 | 2018-05-09 |
| 1548764640 | Cierrra Nicole Bowers | Occupational Therapy Assistant | 813 S Main St, Brownsville, KY 42210-9009 | 2018-03-22 |
| 1700314457 | Donna Lynn Wilson | Physical Therapy Assistant | 813 S Main St, Brownsville, KY 42210-9009 | 2017-05-25 |
| 1013305846 | Paula Dupree | Speech-Language Pathologist | 813 S Main St, Edmonson Center, Brownsville, KY 42210-9009 | 2015-01-01 |
| 1629313549 | Stephanie Jane Ferguson | Physical Therapy Assistant | 813 S Main St, Brownsville, KY 42210-9009 | 2012-12-04 |
| 1669583803 | Hbr Brownsville, LLC | Skilled Nursing Facility | 813 S Main St, Brownsville, KY 42210-9009 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000366 | Edmonson Dental | Clinic/Center | 1427 Ky 259n, Brownsville, KY 42210 | 2019-06-04 |
| 1639600455 | Lauren Walton | Social Worker | 205 Mohawk Street, Brownsville, KY 42210 | 2017-03-23 |
| 1962853713 | Hines Physical Therapy, LLC | Clinic/Center | 107 E Main Cross Street, Brownsville, KY 42210 | 2016-06-23 |
| 1043511736 | Darla Lynn Moody | Massage Therapist | 135 S. Main Street, Brownsville, KY 42210 | 2010-11-11 |
| 1720266851 | Sherry R Rudnick | Nurse Practitioner | 104 Mohawks St, Brownsville, KY 42210 | 2008-01-31 |
| 1831379700 | Meredith York | Case Manager/Care Coordinator | 205 Mohawk Dr., Brownsville, KY 42210 | 2007-11-08 |
| 1740460617 | Deborah Charlene White | Case Manager/Care Coordinator | 205 Mohawk St., Brownsville, KY 42210 | 2007-11-08 |
| 1649486283 | Myra S Ray | Pharmacist | 432 South Main, Brownsville, KY 42210 | 2007-05-14 |
| 1013043470 | Acsr, Inc. | Transportation Broker | 1430 Main St S, Brownsville, KY 42210 | 2007-02-27 |
| 1770621534 | Acsr, Inc. | Clinic/Center | 1430 S. Main St., Brownsville, KY 42210 | 2007-02-02 |
| Find all providers in zip 42210 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619436409 | Audrey B Veith | Physical Therapist | 1808 Milburt Dr, Louisville, KY 40223-1210 | 2019-03-19 |
| 1639640311 | Colin Cummins Barnhill | Physical Therapist | 2510 Brighton Dr, Louisville, KY 40205-3028 | 2018-12-06 |
| 1417438912 | Jayne Gattozzi Feldman | Physical Therapist | 3802 Turkeyfoot Rd, Elsmere, KY 41018-2838 | 2018-08-23 |
| 1346740644 | Susan R Castle | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-02-14 |
| 1336667690 | Anthony Shawn Prater | Physical Therapist | 710 E. Main St., Lexington, KY 40502 | 2017-09-06 |
| 1407276942 | Karen Margaret Stratton | Physical Therapist | 3371 Mantilla Dr, Lexington, KY 40513-1021 | 2014-04-23 |
| 1083985444 | Katrina Jean Rollins | Physical Therapist | 3100 Charles St, Ashland, KY 41102-5827 | 2012-01-18 |
| 1750581161 | Dennis C Lesch | Physical Therapist | 115 Travois Rd, Louisville, KY 40207-1601 | 2007-07-23 |
| 1083176465 | Amy Canter Thompson | Physical Therapist | 710 E Main St, Lexington, KY 40502-1668 | 2019-04-03 |
| 1235697152 | Angela Weddle | Physical Therapist | 371 W Main St, Brodhead, KY 40409-8893 | 2019-03-10 |
| Find all providers with the same taxonomy | ||||
| City | BROWNSVILLE |
| Zip Code | 42210 |
Please comment or provide details below to improve the information on MR. GARRY LANE TUCKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.