Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DERRICK A POWELL, LMT
Active Sole ProprietorMR. DERRICK A POWELL, LMT is a Massage Therapist healthcare provider located in ROUND LAKE, Illinois. NPI 1487390084 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · ROUND LAKE, IL
Registration Details
- NPI Number
- 1487390084
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2022 (4.1282895214925 yrs)
- Last Updated
- May 7, 2022
- Licenses
-
227022514 (IL)227.022514 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
586 S ROSEHALL LNROUND LAKE, IL, 600734268Browse IL providers · Browse ZIP 60073
- Phone
- 8475056944
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Massage Therapist
Other Massage Therapist Providers in ROUND LAKE, IL
| Name | Credential | NPI |
|---|---|---|
| PAUL EUBANKS | LMT | 1073882163 |
| LINDA KELLY | LMT | 1659780385 |
| LINDA LEE EATON | LMT | 1407265283 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.