Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK R MAZEROLLE, LMT
Active Sole ProprietorDEREK R MAZEROLLE, LMT is a Massage Therapist healthcare provider located in MT PLEASANT, South Carolina. NPI 1659647428 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · MT PLEASANT, SC
Registration Details
- NPI Number
- 1659647428
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2012 (14.424642121748 yrs)
- Last Updated
- Mar 27, 2012
- License
-
6679 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1233 BEN SAWYER BLVDSUITE 400MT PLEASANT, SC, 294644577Browse SC providers · Browse ZIP 29464
- Phone
- 8438818408
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in MT PLEASANT, SC
| Name | Credential | NPI |
|---|---|---|
| MRS. AMBER JOY NICHOLSON | PTA | 1922209584 |
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.