MR. DERRICK DITZLER, LMT
Massage Therapist
Active
Individual
NPI: 1174806590
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 227012825 (IL) |
Frequently Asked Questions
NPI 1174806590 is the National Provider Identifier for MR. DERRICK DITZLER, LMT, a Massage Therapist provider located in Cortland, IL. This NPI was enumerated on September 21, 2011.
MR. DERRICK DITZLER, LMT practices at 59 S NINA ST, Cortland, IL 60112.
Quick Facts
- NPI
- 1174806590
- Type
- Individual
- Enumerated
- Sep 21, 2011
- Last Updated
- Sep 21, 2011
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