Individual provider · Type 1 NPI
Derrick Wilson, MT
Massage Therapist · Washington, DC
NPI number
1255162111
Active
Practice location
2701 Ontario Rd NW
Washington, DC 20009-2144
Mailing address
883 Clopper Rd Apt A4
Gaithersburg, MD 20878-4424
Other practice locations
- 5240 S Dakota Ave NE, Washington, DC 20011-2603 · (240) 883-7775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT2457 (DC) |
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.
7 other providers at this address
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- Kiril StasovskyiMassage Therapist Washington, DC NPI 1114744208
- Reginald TullMassage Therapist Washington, DC NPI 1427973213
- Wimolwan Nildum, LMTMassage Therapist Washington, DC NPI 1457184491
- Yanina TullMassage Therapist Washington, DC NPI 1871324244
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- Nicole Marie Zalesak, MMPMassage Therapist Washington, DC NPI 1043180805
- Ashley GreenfieldMassage Therapist Washington, DC NPI 1043625171
- Kimberlee Elizabeth GrimesMassage Therapist Washington, DC NPI 1063367928
- Jacob Edward GoughMassage Therapist Washington, DC NPI 1073067765
About NPI 1255162111
Derrick Wilson, MT's National Provider Identifier is 1255162111, issued on Aug 12, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Washington, DC. The record was last updated on Aug 12, 2024.