Individual
DEREK MCCLASKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2120 EMERALD DR, LOGANVILLE, GA 30052-5591
(614) 288-9036
Mailing address
2120 EMERALD DR, LOGANVILLE, GA 30052-5591
(678) 938-7317
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
GA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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