IndividualActive
Jacob Tucker, LMP
NPI 1003130857 · Massage Therapist · Walla Walla, WA
Provider details
- NPI number
- 1003130857
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMP
- Sex
- Male
- Sole proprietor
- No
- License
- MA 00019702 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
903 S Howard St
Walla Walla, WA 99362-3326
Phone: (509) 525-4160
Fax: (509) 522-9921
Street-level locationGet directions
Mailing address
903 S Howard St
Walla Walla, WA 99362-3326
Registry dates
- Enumerated
- 2010-03-23
- Last updated
- 2014-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.