Individual
DERRICK SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1811 HAMPTON BLVD APT A5, NORFOLK, VA 23517-1661
(757) 675-0533
Mailing address
5115 HAMPTON BLVD, NORFOLK, VA 23529-1661
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016844
VA
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/13/2020
Last updated
03/06/2025
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