NPI 1619531084

Derek Cumberland, LMTMMP

Practitioner Massage Therapist Brandon, MS

Practice location

Address: 505 Oakleigh Pl, Brandon, MS 39047-6297
Phone: (601) 941-6970

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1133 (MS)

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Registry record

NPI: 1619531084
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2019
Record last updated: 30 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.