Individual provider · Type 1 NPI

Derick Williams Moody, LMP

Massage Therapist · Bremerton, WA

NPI number 1558601674 Active

Practice location

4060 Wheaton Way, Ste. C
Bremerton, WA 98310-3500

Call (360) 479-8477 Map

Fax (360) 479-8417

Mailing address

4040 Orchard St W, Ste. 100
Fircrest, WA 98466-6606

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XP160045527 (WA)
Massage Therapist Primary 225700000XMA60298052 (WA)

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 1558601674

Derick Williams Moody, LMP's National Provider Identifier is 1558601674, issued on Feb 27, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bremerton, WA. The record was last updated on Jul 10, 2013.