Individual
DEREK CUMBERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT,MMP
Contact information
Practice address
505 OAKLEIGH PL, BRANDON, MS 39047-6297
(601) 941-6970
Mailing address
505 OAKLEIGH PL, BRANDON, MS 39047-6297
(601) 941-6970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1133
MS
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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