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JERRY TUCKER III
NPI 1720522527
Massage Therapist in Detroit, MI

Active since December 13, 2016
18336 AVON AVE, DETROIT, MI 48219(313) 704-3586 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerry Tucker Iii NPPES

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

JERRY TUCKER III (NPI 1720522527) is an individual massage therapist in Detroit, Michigan, licensed in Michigan (7501005564) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1720522527
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJERRY TUCKER III
Location Address18336 AVON AVEDetroit, MI 48219-2954
Mailing Address18336 Avon AveDetroit, MI 48219-2954
Phone(313) 704-3586
Sole ProprietorYes
Enumeration DateDecember 13, 2016
✔ NPI 1720522527 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 MI · 7501005564
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.
18336 AVON AVE, Detroit, MI 48219
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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 Jerry Tucker's NPI number?

The NPI number for Jerry Tucker is 1720522527. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Where is Jerry Tucker located?

Jerry Tucker practices at 18336 Avon Ave, Detroit, MI 48219. The listed phone number is (313) 704-3586.

What is Jerry Tucker's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jerry Tucker was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.