Derek A Hatch, MT

NPI #1861108409 in Bonners Ferry, Idaho

Provider Information

NPI Number: 1861108409
Entity Type: Individual
Name: Derek A Hatch, MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Jan 26, 2023
Last Updated: Jan 26, 2023

Practice Location

Address: 222 RACOON LN
City: Bonners Ferry
State: Idaho
ZIP Code: 83805-6078
Phone: (208) 610-8136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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