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MR. DERRICK A POWELL LMT
NPI 1487390084
Massage Therapist in Round Lake, IL

Active since May 07, 2022
586 S ROSEHALL LN, ROUND LAKE, IL 60073(847) 505-6944 Get Directions Write a Review

NPPES record last updated: May 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Derrick A Powell Lmt NPPES

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

MR. DERRICK A POWELL LMT (NPI 1487390084) is an individual massage therapist in Round Lake, Illinois, licensed in Illinois (227.022514) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1487390084
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. DERRICK A POWELLCredential: LMT
Location Address586 S ROSEHALL LNRound Lake, IL 60073-4268
Mailing Address586 S Rosehall LnRound Lake, IL 60073-4268 · (847) 505-6944
Phone(847) 505-6944
Sole ProprietorYes
Enumeration DateMay 7, 2022
NPPES CertifiedMay 5, 2022
✔ NPI 1487390084 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
Licenses✔ Licensed in IL · 227.022514✔ Licensed in IL · 227022514
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.

586 S ROSEHALL LN, Round Lake, IL 60073
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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 Powell's NPI number?

The NPI number for Derrick Powell is 1487390084. It was assigned to this individual provider in the NPPES registry on May 7, 2022.

Where is Derrick Powell located?

Derrick Powell practices at 586 S Rosehall Ln, Round Lake, IL 60073. The listed phone number is (847) 505-6944.

What is Derrick Powell'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 Powell was last updated on May 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.