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

Jerry Tucker III

Individual provider Massage Therapist · NPI 1720522527

Jerry Tucker III is a Massage Therapist in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

18336 Avon Ave
Detroit, MI 48219-2954
Phone: (313) 704-3586
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7501005564 (MI)

Record details

NPI number1720522527
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 13, 2016
Last updated in NPPESDecember 13, 2016

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