Individual provider · Type 1 NPI

Phillip Derifield, L, M.T

Massage Therapist · Lexington, KY

NPI number 1366706350 Active

Practice location

3344 Partner Pl, Suite 3
Lexington, KY 40503-3574

Call (859) 285-2126 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2381 (KY)

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 1366706350

Phillip Derifield, L, M.T's National Provider Identifier is 1366706350, issued on Jun 25, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lexington, KY. The record was last updated on Jun 25, 2012.