Provider Demographics
NPI:1437685989
Name:KUECKER, ROBIN ELINOR (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:ELINOR
Last Name:KUECKER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:ELINOR
Other - Last Name:TROTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6130 PARKWAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2136
Mailing Address - Country:US
Mailing Address - Phone:361-826-5779
Mailing Address - Fax:
Practice Address - Street 1:6130 PARKWAY
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-2455
Practice Address - Country:US
Practice Address - Phone:361-826-5779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1255319225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist