Provider Demographics
NPI:1811329873
Name:DEERING, TUCKER (DPT)
Entity type:Individual
Prefix:
First Name:TUCKER
Middle Name:
Last Name:DEERING
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5920 S ESTES ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-8619
Mailing Address - Country:US
Mailing Address - Phone:303-932-2500
Mailing Address - Fax:303-932-2600
Practice Address - Street 1:8200 E BELLEVIEW AVE STE 505E
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2978
Practice Address - Country:US
Practice Address - Phone:303-741-0235
Practice Address - Fax:303-741-4882
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12240225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist