Individual provider · Type 1 NPI
Holly Deen Derossett, L.M.T.
Massage Therapist · Valdosta, GA
NPI number
1225463482
Active
Practice location
2420 Bemiss Rd., Suite B
Valdosta, GA 31602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT005886 (GA) |
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 1225463482
Holly Deen Derossett, L.M.T.'s National Provider Identifier is 1225463482, issued on Sep 6, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Valdosta, GA. The record was last updated on Sep 6, 2013.