Individual provider · Type 1 NPI
Derek Wilson
Massage Therapist · Tempe, AZ
NPI number
1992642532
Active
Practice location
9010 S Priest Dr Apt 3082
Tempe, AZ 85284-1098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 30438 (AZ) |
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 1992642532
Derek Wilson's National Provider Identifier is 1992642532, issued on May 1, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tempe, AZ. The record was last updated on May 1, 2026.