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DARRICK STEWART ROACH
NPI 1063969558
Massage Therapist in Crescent City, CA

Active since September 01, 2016
1225 MARSHALL ST., 18, CRESCENT CITY, CA 95531(707) 954-8978(707) 460-1401 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Darrick Stewart Roach NPPES

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

DARRICK STEWART ROACH (NPI 1063969558) is an individual massage therapist in Crescent City, California, licensed in California (64848) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1063969558
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDARRICK STEWART ROACH
Location Address1225 MARSHALL ST., 18Crescent City, CA 95531
Mailing Address1225 Marshall St., 18Crescent City, CA 95531 · (707) 954-8978 · Fax (707) 460-1401
Phone(707) 954-8978
Fax(707) 460-1401
Sole ProprietorYes
Enumeration DateSeptember 1, 2016
✔ NPI 1063969558 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
License✔ Licensed in CA · 64848
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.
1225 MARSHALL ST., Crescent City, CA 95531
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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 Darrick Roach's NPI number?

The NPI number for Darrick Roach is 1063969558. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Darrick Roach located?

Darrick Roach practices at 1225 Marshall St. 18, Crescent City, CA 95531. The listed phone number is (707) 954-8978.

What is Darrick Roach'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 Darrick Roach was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.