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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT2457 (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.

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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.