LATRESE TUCKER
NPI 1033763347
Contractor in Detroit, MI

Active since July 25, 2019
9600 WYOMING, DETROIT, MI 48204(313) 989-3411 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Latrese Tucker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATRESE TUCKER (NPI 1033763347) is an individual contractor provider in Detroit, Michigan and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1033763347
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameLATRESE TUCKER
Location Address9600 WYOMINGDetroit, MI 48204
Mailing Address3835 Holcomb StDetroit, MI 48214-1386
Sole ProprietorYes
Enumeration DateJuly 25, 2019
NPI 1033763347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition

For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

9600 WYOMING, Detroit, MI 48204

Other Identifiers 1

MedicaidT260488139143MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latrese Tucker's NPI number?

The NPI number for Latrese Tucker is 1033763347. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Where is Latrese Tucker located?

Latrese Tucker practices at 9600 Wyoming, Detroit, MI 48204. The listed phone number is (313) 989-3411.

What is Latrese Tucker's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Latrese Tucker was last updated on July 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.