Jeffery L Tucker, OT
Occupational Therapist in Branson, MO. Individual provider (NPI-1).
NPI number1508094087
StatusActive
Last updated in NPPESJun 23, 2009
Details
- NPI
- 1508094087
- Entity type
- Individual (NPI-1)
- Name
- Jeffery L Tucker
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2009
- Last updated
- Jun 23, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 2001019347 | MO | Yes |
Practice location
670 Branson Landing BlvdBranson, MO 65616-2074
Phone 417-332-2990
Mailing address
1235 E Cherokee StSpringfield, MO 65804-2203
Phone 417-820-2000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Occupational Therapist providers in Branson · All 733 providers in Branson
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