Derrick Tucker, LMT

Massage Therapist · Saint Louis, MO

Individual Active NPI

NPI number 1629434576

Practice location

4102a Shenandoah Ave
Saint Louis, MO 63110-3940
Phone
(314) 541-3924

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NPI record

NPI
1629434576
Entity type
Individual (Type 1)
Enumeration date
January 7, 2016
Last updated
January 7, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Massage Therapist Primary 225700000X 2013025861 MO

About Derrick Tucker

Derrick Tucker, LMT is a healthcare provider registered in the NPI registry with the primary taxonomy Massage Therapist (code 225700000X). The practice location is 4102a Shenandoah Ave, Saint Louis, MO 63110-3940. The NPI number 1629434576 was assigned on January 7, 2016 and the record was last updated on January 7, 2016.

Derrick Tucker lists a license in the registry: #2013025861 (MO) for Massage Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derrick Tucker, LMT?

The NPI number is 1629434576.

What is the phone number of Derrick Tucker?

The phone number listed for the practice location is (314) 541-3924.

Where is Derrick Tucker located?

4102a Shenandoah Ave, Saint Louis, MO 63110-3940.

What is the taxonomy code for Derrick Tucker?

The primary taxonomy code is 225700000X – Massage Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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