National Provider Identifier
Tina Marie Loucks
Tina Marie Loucks is listed in the NPPES registry with a primary specialty of Attendant Care Provider in Bath, NY and a listed phone number of (607) 794-2998.
Profile Overview
- NPI
- 1255953782
- Provider Type
- Individual
- Primary Specialty
- Attendant Care Provider
- Enumeration Date
- May 06, 2020
- Last Updated
- May 06, 2020
Practice Location
- 6294 Fulford Hill RD
- Bath, NY 14810-8156
Phone: (607) 794-2998
Specialties
- Attendant Care Provider (3747A0650X)
Full Record
- NPI
- 1255953782
- Entity Type
- Individual
- Last Name
- Loucks
- First Name
- Tina
- Middle Name
- Marie
- Name Prefix
- Miss
- Mailing Street Address
- 6294 Fulford Hill RD
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-8156
- Mailing Country
- US
- Mailing Phone
- (607) 794-2998
- Practice Street Address
- 6294 Fulford Hill RD
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-8156
- Practice Country
- US
- Practice Phone
- (607) 794-2998
- Enumeration Date
- May 06, 2020
- Last Updated
- May 06, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 06, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Attendant Care Provider (3747A0650X)