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Derrick Jesse Phillips
Massage Therapist in Arlington, Texas
NPI 1700512423

Derrick Jesse Phillips is a Massage Therapist based in Arlington, TX. Derrick Jesse Phillips practices in Arlington, TX. The NPI Number for Derrick Jesse Phillips is 1700512423 and holds a License No. 1315697 (Texas).

The current practice location address for Derrick Jesse Phillips is 1616 Ridge Haven Dr Apt 510, Arlington, TX and can be reached out via phone at 817-658-8367.

Location: 1616 Ridge Haven Dr Apt 510, Arlington, TX, 76011-9097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700512423
Provider Name
Derrick Jesse Phillips
Credential
Provider Entity Type
Individual
Gender
Male
Address
1616 Ridge Haven Dr Apt 510, Arlington, TX, 76011-9097
Phone Number
817-658-8367
Fax Number
Provider Enumeration Date
07/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1616 Ridge Haven Dr Apt 510
City
Arlington
State
Texas
Zip
76011-9097
Phone Number
817-658-8367
Fax Number
person
Provider Business Mailing Address Details
Address
1616 Ridge Haven Dr Apt 510
City
Arlington
State
Texas
Zip
76011-9097
Phone Number
817-658-8367
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
1315697 (Texas)
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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