HENRY GRADY TUCKER III LMT
NPI 1376916999
Massage Therapist in Decatur, GA
Active since November 04, 2015
About Henry Grady Tucker Iii Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENRY GRADY TUCKER III LMT (NPI 1376916999) is an individual massage therapist in Decatur, Georgia, licensed in Georgia (MT006121) and active in the NPI registry since November 2015.
NPPES Registry Identity
NPI1376916999
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameHENRY GRADY TUCKER IIICredential: LMT
Location Address11 SYCAMORE SQDecatur, GA 30030-1952
Mailing Address11 Sycamore SqDecatur, GA 30030-1952 · (404) 247-1215
Phone(404) 247-1215
Sole ProprietorNo
Enumeration DateNovember 4, 2015
✔ NPI 1376916999 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in GA · MT006121
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
11 SYCAMORE SQ, Decatur, GA 30030
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376916999, enumerated as an "individual" on November 04, 2015.
The provider is located at 11 SYCAMORE SQ DECATUR, GA 30030 and the phone number is (404) 247-1215.
Massage Therapist with taxonomy code 225700000X.
