Derek William Tucker
Physical Therapy Assistant · Jesup, GA
NPI number
1790331304
Practice location
110 Professional CtJesup, GA 31545-0044
- Phone
- (912) 427-0800
NPI record
- NPI
- 1790331304
- Entity type
- Individual (Type 1)
- Enumeration date
- August 11, 2019
- Last updated
- August 11, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
— | — |
Mailing address
33 Laurenburg DrRichmond Hill, GA 31324-5197
- Phone
- (912) 507-8021
About Derek Tucker
Derek William Tucker is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 110 Professional Ct, Jesup, GA 31545-0044. The NPI number 1790331304 was assigned on August 11, 2019 and the record was last updated on August 11, 2019.
Frequently asked questions
What is the NPI number of Derek William Tucker?
The NPI number is 1790331304.
What is the phone number of Derek Tucker?
The phone number listed for the practice location is (912) 427-0800.
Where is Derek Tucker located?
110 Professional Ct, Jesup, GA 31545-0044.
What is the taxonomy code for Derek Tucker?
The primary taxonomy code is 225200000X – Physical Therapy Assistant.
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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