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TYRONE DEMETRIUS TUCKER
NPI 1487903464
Rehabilitation Practitioner in N Las Vegas, NV

Active since September 05, 2012
415 DUKE AVE, N LAS VEGAS, NV 89030(702) 479-8650 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyrone Demetrius Tucker NPPES

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

TYRONE DEMETRIUS TUCKER (NPI 1487903464) is an individual rehabilitation practitioner in N Las Vegas, Nevada and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1487903464
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameTYRONE DEMETRIUS TUCKER
Location Address415 DUKE AVEN Las Vegas, NV 89030-3800
Mailing Address415 Duke AveN Las Vegas, NV 89030-3800 · (702) 479-8650
Phone(702) 479-8650
Sole ProprietorYes
Enumeration DateSeptember 5, 2012
✔ NPI 1487903464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
415 DUKE AVE, N Las Vegas, NV 89030
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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 Tyrone Tucker's NPI number?

The NPI number for Tyrone Tucker is 1487903464. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Tyrone Tucker located?

Tyrone Tucker practices at 415 Duke Ave, N Las Vegas, NV 89030. The listed phone number is (702) 479-8650.

What is Tyrone Tucker's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Tyrone Tucker was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.