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DERICK WILLIAMS MOODY LMP
NPI 1558601674
Massage Therapist in Bremerton, WA

Active since February 27, 2013
4060 WHEATON WAY, STE. C, BREMERTON, WA 98310(360) 479-8477(360) 479-8417 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derick Williams Moody Lmp NPPES

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

DERICK WILLIAMS MOODY LMP (NPI 1558601674) is an individual massage therapist in Bremerton, Washington, licensed in Washington (MA60298052) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1558601674
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDERICK WILLIAMS MOODYCredential: LMP
Location Address4060 WHEATON WAY, STE. CBremerton, WA 98310-3500
Mailing Address4040 Orchard St W, Ste. 100Fircrest, WA 98466-6606 · (253) 564-1560 · Fax (253) 564-4449
Phone(360) 479-8477
Fax(360) 479-8417
Sole ProprietorNo
Enumeration DateFebruary 27, 2013
Last NPPES UpdateJuly 10, 2013
✔ NPI 1558601674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WA · MA60298052
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.
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License P160045527 (WA)
4060 WHEATON WAY, Bremerton, WA 98310
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Other Providers at the Same Location NPPES 9

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

SHANNON RAMSEY
Counselor (Addiction (Substance Use Disorder))
4060 WHEATON WAY
BREMERTON, WA 98310
Kitsap County (360) 876-9430
ELIZABETH ELLEN ANSLEY DPT
Physical Therapist
4060 WHEATON WAY, STE. C
BREMERTON, WA 98310
Kitsap County (360) 479-8477
JACOB A ALBRECQ LMP
Massage Therapist
4060 WHEATON WAY, SUITE C
BREMERTON, WA 98310
Kitsap County (360) 479-8477
TANYA MARIE-HELENE LABARRE MPT
Physical Therapist
4060 WHEATON WAY, SUITE C
BREMERTON, WA 98310
Kitsap County (360) 479-8477
MISTY ROSE VOSHALL LMP
Massage Therapist
4060 WHEATON WAY, STE. C
BREMERTON, WA 98310
Kitsap County (360) 479-8477
MATTHEW BRANDT KNOEBEL DPT
Physical Therapist
4060 WHEATON WAY, SUITE C
BREMERTON, WA 98310
Kitsap County (360) 479-8477
ANA ISABEL SANCHEZ LMP
Massage Therapist
4060 WHEATON WAY, SUITE C
BREMERTON, WA 98310
Kitsap County (360) 479-8477
BRADLEY J. STOCKTON DPT
Physical Therapist
4060 WHEATON WAY, SUITE C
BREMERTON, WA 98310
Kitsap County (360) 479-8477

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 Derick Moody's NPI number?

The NPI number for Derick Moody is 1558601674. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Derick Moody located?

Derick Moody practices at 4060 Wheaton Way Ste. C, Bremerton, WA 98310. The listed phone number is (360) 479-8477.

What is Derick Moody'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 Derick Moody was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.