The holder whose full name is Nuckols, Tyson,come from Matthews IN,hold the Phys Ther Assistant license(NO.06004700A) which status is Active.
| Name | Nuckols, Tyson |
|---|---|
| License Number | 06004700A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Matthews |
| State | IN |