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

Mr. Derrick Tucker, LMT

Individual provider Massage Therapist · NPI 1629434576

Mr. Derrick Tucker, LMT is a Massage Therapist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

4102A Shenandoah Ave
Saint Louis, MO 63110-3940
Phone: (314) 541-3924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 2013025861 (MO)

Record details

NPI number1629434576
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedJanuary 7, 2016
Last updated in NPPESJanuary 7, 2016

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