Individual provider · Type 1 NPI

Kim Derrick, LMT FDNP

Massage Therapist · Arlington, VA

NPI number 1407490618 Active

Practice location

4001 9th St N Ste 230
Arlington, VA 22203-1900

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019016865 (VA)

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 1407490618

Kim Derrick, LMT FDNP's National Provider Identifier is 1407490618, issued on Oct 30, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Arlington, VA. The record was last updated on Oct 30, 2019.