JESSICA DERRICK LMT
NPI 1023353711
Massage Therapist in Riverton, UT

Active since December 06, 2012
1864 W 12600 S STE 1, RIVERTON, UT 84065(801) 810-0569 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Feb 20, 2019 (2 updates tracked since 2019).

About Jessica Derrick Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA DERRICK LMT (NPI 1023353711) is an individual massage therapist in Riverton, Utah and active in the NPI registry since December 2012. She maintains a secondary practice location in Tooele.

NPPES Registry Identity

NPI1023353711
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJESSICA DERRICKCredential: LMT
Location Address1864 W 12600 S STE 1Riverton, UT 84065-7273
Mailing Address12508 S Shade LnRiverton, UT 84065-1678 · (801) 574-7692
Sole ProprietorNo
Enumeration DateDecember 6, 2012
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1023353711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1864 W 12600 S STE 1, Riverton, UT 84065

Secondary Practice Location 1

Location 128 N Main St Ste 6Tooele, UT 84074-2352 · Phone (801) 810-0569

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
1864 W 12600 S STE 1
RIVERTON, UT 84065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Derrick's NPI number?

The NPI number for Jessica Derrick is 1023353711. It was assigned to this individual provider in the NPPES registry on December 6, 2012.

Where is Jessica Derrick located?

Jessica Derrick practices at 1864 W 12600 S Ste 1, Riverton, UT 84065. The listed phone number is (801) 810-0569.

What is Jessica Derrick's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jessica Derrick was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.