MR. DERRICK POWELL, LMT
Massage Therapist
Active
Individual
NPI: 1487390084
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 227.022514 (IL) |
Frequently Asked Questions
NPI 1487390084 is the National Provider Identifier for MR. DERRICK POWELL, LMT, a Massage Therapist provider located in Round Lake, IL. This NPI was enumerated on May 7, 2022.
MR. DERRICK POWELL, LMT practices at 586 S ROSEHALL LN, Round Lake, IL 60073.
Quick Facts
- NPI
- 1487390084
- Type
- Individual
- Enumerated
- May 7, 2022
- Last Updated
- May 7, 2022
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