MR. DERRIC MATTESON, LMP
Mechanotherapist
Active
Individual
NPI: 1881919082
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Mechanotherapist | 172M00000X | Yes | MA60101907 (WA) |
Frequently Asked Questions
NPI 1881919082 is the National Provider Identifier for MR. DERRIC MATTESON, LMP, a Mechanotherapist provider located in Tacoma, WA. This NPI was enumerated on March 30, 2010.
MR. DERRIC MATTESON, LMP practices at 8432 6TH AVE APT 4, Tacoma, WA 98465.
Quick Facts
- NPI
- 1881919082
- Type
- Individual
- Enumerated
- Mar 30, 2010
- Last Updated
- Mar 30, 2010
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