Active NPIIndividual providerSole proprietor

Mr. Derek Soohoo, LMT MMP

Massage Therapist in Lowell, Massachusetts

NPI Number1679917223
Practice location
250 Jackson St, 4TH Floor, Lowell, MA 01852-2106
Fax
—
Last updated
April 4, 2014

Derek Soohoo is a Massage Therapist based in Lowell, MA. Derek Soohoo practices in Lowell, MA and has the professional credentials of LMT MMP. The NPI Number for Derek Soohoo is 1679917223 and holds a License No. 7392. The current practice location address for Derek Soohoo is 250 Jackson St, 4TH Floor, Lowell, MA 01852-2106 and can be reached out via phone at 978-376-3899.

Provider Profile Details

NPI Number
1679917223
Provider Name
Derek Soohoo
Credential
LMT MMP
Provider Entity Type
Individual
Gender
Male
Address
250 Jackson St, 4TH Floor, Lowell, MA 01852-2106
Phone Number
978-376-3899
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
April 25, 2013
Last Update Date
April 4, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 Jackson St
4TH Floor
Lowell, MA 01852-2106
City
Lowell
Zip
01852-2106
Phone Number
978-376-3899
Lowell, MA 01852Get directions →

Provider Business Mailing Address Details

Address
78 Davis RD
Chelmsford, MA 01824-1302
City
Chelmsford
State
MA
Zip
01824-1302
Phone Number
978-376-3899

License Information

License Number
7392
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Derek Soohoo, LMT MMP?

The NPI number of Mr. Derek Soohoo, LMT MMP is 1679917223. It was assigned on April 25, 2013 and is currently active in the NPPES registry.

What is the specialty of Mr. Derek Soohoo, LMT MMP?

Mr. Derek Soohoo, LMT MMP is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed under license number 7392.

Where does Mr. Derek Soohoo, LMT MMP practice?

The practice location is 250 Jackson St, 4TH Floor, Lowell, MA 01852-2106. The office can be reached at 978-376-3899 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679917223 directly on the NPPES registry website.

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