Individual provider · Type 1 NPI

Derrick Tucker, LMT

Massage Therapist · St. Louis, MO

NPI number 1629434576 Active

Practice location

4102A Shenandoah Ave
St. Louis, MO 63110-3940

Call (314) 541-3924 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2013025861 (MO)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1629434576

Derrick Tucker, LMT's National Provider Identifier is 1629434576, issued on Jan 7, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 7, 2016.