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Derrik White
Massage Therapist in Vancouver, Washington
NPI 1386310167

Derrik White is a Massage Therapist based in Vancouver, WA. Derrik White practices in Vancouver, WA. The NPI Number for Derrik White is 1386310167 and holds a License No. MA61156998 (Washington).

The current practice location address for Derrik White is 3407 Ne 103Rd Ave, Vancouver, WA and can be reached out via phone at 360-553-6396.

Location: 3407 Ne 103Rd Ave, Vancouver, WA, 98662-7583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386310167
Provider Name
Derrik White
Credential
Provider Entity Type
Individual
Gender
Male
Address
3407 Ne 103Rd Ave, Vancouver, WA, 98662-7583
Phone Number
360-553-6396
Fax Number
Provider Enumeration Date
08/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3407 Ne 103Rd Ave
City
Vancouver
State
Washington
Zip
98662-7583
Phone Number
360-553-6396
Fax Number
person
Provider Business Mailing Address Details
Address
3407 Ne 103Rd Ave
City
Vancouver
State
Washington
Zip
98662-7583
Phone Number
360-553-6396
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61156998 (Washington)
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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