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MR. DERRICK D DITZLER LMT
NPI 1174806590
Massage Therapist in Cortland, IL

Active since September 21, 2011
59 S NINA ST, CORTLAND, IL 60112(815) 793-7737 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Derrick D Ditzler Lmt NPPES

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

MR. DERRICK D DITZLER LMT (NPI 1174806590) is an individual massage therapist in Cortland, Illinois, licensed in Illinois (227012825) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1174806590
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. DERRICK D DITZLERCredential: LMT
Location Address59 S NINA STCortland, IL 60112-4047
Mailing Address59 S Nina StCortland, IL 60112-4047 · (815) 793-7737
Phone(815) 793-7737
Sole ProprietorYes
Enumeration DateSeptember 21, 2011
✔ NPI 1174806590 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 IL · 227012825
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.

59 S NINA ST, Cortland, IL 60112
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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 Derrick Ditzler's NPI number?

The NPI number for Derrick Ditzler is 1174806590. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Where is Derrick Ditzler located?

Derrick Ditzler practices at 59 S Nina St, Cortland, IL 60112. The listed phone number is (815) 793-7737.

What is Derrick Ditzler'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 Derrick Ditzler was last updated on September 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.