Individual provider · Type 1 NPI

Darrick Stewart Roach

Massage Therapist · Crescent City, CA

NPI number 1063969558 Active

Practice location

1225 Marshall St., 18
Crescent City, CA 95531

Fax (707) 460-1401

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X64848 (CA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1063969558

Darrick Stewart Roach's National Provider Identifier is 1063969558, issued on Sep 1, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Crescent City, CA. The record was last updated on Sep 1, 2016.