Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERICK WILLIAMS MOODY, LMP
ActiveDERICK WILLIAMS MOODY, LMP is a Massage Therapist healthcare provider located in BREMERTON, Washington. NPI 1558601674 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · BREMERTON, WA
Registration Details
- NPI Number
- 1558601674
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2013 (13.416686661133 yrs)
- Last Updated
- Jul 10, 2013
- Licenses
-
P160045527 (WA)MA60298052 (WA)
Practice Information
- Address
-
4060 WHEATON WAYSTE. CBREMERTON, WA, 983103500Browse WA providers · Browse ZIP 98310
- Phone
- 3604798477
- Fax
- 3604798417
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Massage Therapist
Other Massage Therapist Providers in BREMERTON, WA
| Name | Credential | NPI |
|---|---|---|
| TAWNY ANDERSON | — | 1023125382 |
| MR. WALTER ANTON MOLLER | LMP | 1124113758 |
| MS. CINDY LYNN GOODSPEED | LMP | 1588734362 |
| SHARON ELIZABETH WALKER | LMP | 1205906211 |
| MRS. ANGELA M PATRAW-FLESHER | LMP MM | 1063576643 |
| DEBORAH LYNN DOLL | LMP | 1255479374 |
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.