Linda Kettner Tucker, Physical Therapist
Physical Therapist, Pediatrics in Mequon, WI. Individual provider (NPI-1).
NPI number1932342011
StatusActive
Last updated in NPPESApr 20, 2009
Details
- NPI
- 1932342011
- Entity type
- Individual (NPI-1)
- Name
- Ms. Linda Kettner Tucker
- Credential
- Physical Therapist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2009
- Last updated
- Apr 20, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | 12944-024 | WI | Yes |
| 2251G0304X | Physical Therapist, Geriatrics | 1294-024 | WI |
Practice location
5000 Mequon RoadMequon, WI 53092
Phone 262-238-5821
Mailing address
13345 N Windsor CtMequon, WI 53097-2018
Phone 262-643-4421
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Other Pediatric Physical Therapist providers in Mequon, WI
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