Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corey Tucker, PTA

Individual provider Physical Therapy Assistant · NPI 1720553423

Corey Tucker, PTA is a Physical Therapy Assistant in Keller, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

601 S Main St Ste 105
Keller, TX 76248-7027
Phone: (972) 393-8067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2142409 (TX)

Record details

NPI number1720553423
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 9, 2018
Last updated in NPPESOctober 9, 2018
Mailing address6420 Rivertrail Cir Apt 117, Arlington, TX 76001-1136

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