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

Individual provider Rehabilitation Practitioner · NPI 1417003807

Michael John Tucibat is a Rehabilitation Practitioner in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

6777 N Willow Ave Ste 142
Fresno, CA 93710-5900
Phone: (559) 224-7880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT49368 (CA)
Rehabilitation Practitioner Taxonomy 225400000X · Licence IMF 40986 (CA)

Record details

NPI number1417003807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 26, 2007
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020
Mailing address6777 N Willow Ave Ste 142, Fresno, CA 93710-5900

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