Individual
MR. DERRICK BOWERSOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
105 W MAIN ST, SUITE C, ASHLAND, OH 44805-2221
(419) 908-9337
Mailing address
105 W MAIN ST, SUITE C, ASHLAND, OH 44805-2221
(419) 908-9337
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.019598
OH
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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