Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary Tucker

Individual provider Occupational Therapy Assistant · NPI 1083929400

Gary Tucker is an Occupational Therapy Assistant in Kosciusko, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2010

Practice location Address checks out

310 Autumn Ridge Dr
Kosciusko, MS 39090-3242
Phone: (662) 289-3499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence TA0288 (MS)

Record details

NPI number1083929400
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 10, 2010
Last updated in NPPESAugust 10, 2010

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