Derrick Dewayne Crawford

NPI #1598363012 in Old Hickory, Tennessee

Provider Information

NPI Number: 1598363012
Entity Type: Individual
Name: Derrick Dewayne Crawford
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Oct 16, 2020
Last Updated: Oct 16, 2020

Practice Location

Address: 4701 OLD HICKORY BLVD APT C202
City: Old Hickory
State: Tennessee
ZIP Code: 37138-2073
Phone: (615) 339-7583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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