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

Mrs. Mellisa J Tucker, PTA

Individual provider Physical Therapy Assistant · NPI 1780831560

Mrs. Mellisa J Tucker, PTA is a Physical Therapy Assistant in Kimberling City, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

276 Fountain Ln
Kimberling City, MO 65686-9356
Phone: (417) 739-2481
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2001000054 (MO)

Record details

NPI number1780831560
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 22, 2008
Last updated in NPPESAugust 22, 2008

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