Moody, Derick Williams

Moody, Derick Williams is an individual health care provider with primary practice located at 4060 Wheaton Way Ste. C, Bremerton WA 98310-3500. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is his primary health care specialty. Moody, Derick Williams can be contacted via phone (360) 479-8477.

Contact Information

Primary practice address
4060 Wheaton Way Ste. C Bremerton WA 98310-3500
Phone: (360) 479-8477
Fax: (360) 479-8417
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X P160045527 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA60298052 Washington

Profile Details

NPI number 1558601674
LBN Legal business name Moody, Derick Williams
Credentials LMP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2013
Last updated Jul 10th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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