Individual
DERREK DRAPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1104 E ASHTON AVE, STE 207, SALT LAKE CITY, UT 84106-4504
(801) 604-5141
Mailing address
1104 E ASHTON AVE, STE 207, SALT LAKE CITY, UT 84106-4504
(801) 604-5141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7819372-4701
UT
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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