Individual
DEREK WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9010 S PRIEST DR APT 3082, TEMPE, AZ 85284-1098
(480) 310-0976
Mailing address
9010 S PRIEST DR APT 3082, TEMPE, AZ 85284-1098
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
30438
AZ
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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