Individual
JESSICA DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1864 W 12600 S STE 1, RIVERTON, UT 84065-7273
(801) 810-0569
Mailing address
12508 S SHADE LN, RIVERTON, UT 84065-1678
(801) 574-7692
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
UT
Other
Enumeration date
12/06/2012
Last updated
12/19/2025
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