Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary Tucker

Individual provider Occupational Therapy Assistant · NPI 1083929400

Gary Tucker is an Occupational Therapy Assistant in Kosciusko, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2010

Practice location Address checks out

310 Autumn Ridge Dr
Kosciusko, MS 39090-3242
Phone: (662) 289-3499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence TA0288 (MS)

Record details

NPI number1083929400
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 10, 2010
Last updated in NPPESAugust 10, 2010
Mailing address4109 Highway 98 W, Summit, MS 39666-9132

Other providers in Kosciusko