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Contact Information

YVETTE TUCKER
150 ALLENDALE RD STE 3301
KING OF PRUSSIA, PA19406-5048
 Phone: 484-580-9818
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Orthotics/Prosthetics Fitter

225000000X
 

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for YVETTE TUCKER · (Female)

NPI Number 1649038324
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2024
Last updated 06/11/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • PA License # CO275015
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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