Individual provider · Type 1 NPI
Derrick A. Powell, LMT
Massage Therapist · Round Lake, IL
NPI number
1487390084
Active
Practice location
586 S Rosehall Ln
Round Lake, IL 60073-4268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 227022514 (IL) |
| Massage Therapist Primary | 225700000X | 227.022514 (IL) |
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.
Other massage therapist providers in Round Lake
About NPI 1487390084
Derrick A. Powell, LMT's National Provider Identifier is 1487390084, issued on May 7, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Round Lake, IL. The record was last updated on May 7, 2022.