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Mr. Derrick D Ditzler, LMT
Massage Therapist in Cortland, Illinois
NPI 1174806590

Derrick D Ditzler is a Massage Therapist based in Cortland, IL. Derrick D Ditzler practices in Cortland, IL and has the professional credentials of LMT. The NPI Number for Derrick D Ditzler is 1174806590 and holds a License No. 227012825 (Illinois).

The current practice location address for Derrick D Ditzler is 59 S Nina St, Cortland, IL and can be reached out via phone at 815-793-7737.

Location: 59 S Nina St, Cortland, IL, 60112-4047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174806590
Provider Name
Derrick D Ditzler
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
59 S Nina St, Cortland, IL, 60112-4047
Phone Number
815-793-7737
Fax Number
Provider Enumeration Date
09/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
59 S Nina St
City
Cortland
State
Illinois
Zip
60112-4047
Phone Number
815-793-7737
Fax Number
person
Provider Business Mailing Address Details
Address
59 S Nina St
City
Cortland
State
Illinois
Zip
60112-4047
Phone Number
815-793-7737
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227012825 (Illinois)
Definition
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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