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

Mr. Derek William Tucker

Individual provider Physical Therapy Assistant · NPI 1790331304

Mr. Derek William Tucker is a Physical Therapy Assistant in Jesup, Georgia. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

110 Professional Ct
Jesup, GA 31545-0044
Phone: (912) 427-0800
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1790331304
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2019
Last updated in NPPESAugust 11, 2019
Mailing address33 Laurenburg Dr, Richmond Hill, GA 31324-5197

Other providers in Jesup