Provider Demographics
NPI:1689896334
Name:TUCKER, ERIN K (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:K
Last Name:TUCKER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 MINERS COVE WAY
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-6509
Mailing Address - Country:US
Mailing Address - Phone:417-380-3248
Mailing Address - Fax:
Practice Address - Street 1:313 MINERS COVE WAY
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-6509
Practice Address - Country:US
Practice Address - Phone:417-380-3248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP19823225100000X
SC10331225100000X
MO2000145880225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist