Madison Tucker, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2023-4043 Issued in WV

Practice address

4710 Chimney Dr Ste D
Charleston, WV 25302-4841

Phone

(304) 965-2458

Fax

(304) 965-2258

NPI assigned

Nov 30, 2023

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elk Valley Health & Wellness

  dba Elk River Chiropractic

  • Acupuncturist
  • Charleston, WV
  • NPI 1366548950
  NPD
• Elk Valley Physical Therapy Inc

  • Physical Therapist
  • Elkview, WV
  • NPI 1073824918
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1770359762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 CHIMNEY DR STE D",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253024841",
            "telephone_number": "304-965-2458",
            "fax_number": "304-965-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 CHIMNEY DR STE D",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253024841",
            "telephone_number": "304-965-2458",
            "fax_number": "304-965-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MADISON",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "2023-4043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Lynn Tucker
• Danielle Tucker
• Janet Tucker
• Joyce Tucker
• Kayla Tucker
• Megan Tucker, RN
• Norma Tucker
• Rachael Tucker
• Taylor Tucker
• Jacklyn Michelle Tull, PRSS

• Massage Therapist in Charleston, WV
• Providers in Charleston, WV by specialty
• Massage Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.