DERRICK DEWAYNE CRAWFORD (NPI# 1598363012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598363012 |
| Entity Type | Individual |
| Full Name | DERRICK DEWAYNE CRAWFORD |
| Practice Address |
4701 Old Hickory Blvd Apt C202 Old Hickory TN 37138-2073 |
| Practice Telephone | 6153397583 |
| Mailing Telephone | 6153397583 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 9309 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | LICENSED MASSAGE THERAPIST | 9309 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992194377 | Derrick Crawford | Case Manager/Care Coordinator | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2015-01-22 |
| 1659659688 | Derrick Antonia Crawford | Physical Therapy Assistant | 12856 Deauville Dr, Omaha, NE 68137-3204 | 2011-07-25 |
| Street Address |
4701 OLD HICKORY BLVD APT C202 |
| City | OLD HICKORY |
| State | TN |
| Zip Code | 37138-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567975 | Sharonda Muse | Clinical Medical Laboratory | 106 Rifle Range Rd, Old Hickory, TN 37138 | 2020-08-08 |
| 1255712832 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 4937 Saundersville Road, Old Hickory, TN 37138 | 2015-06-09 |
| 1023107232 | Michael Atchley | Dentist | 601 Brandywine Village Court, Old Hickory, TN 37138 | 2006-10-12 |
| 1013028463 | Samuel Earl Helms Jr. | Dentist | 101 Matterhorn Dr, Old Hickory, TN 37138 | 2006-08-31 |
| 1962519553 | Robert Wayne Mashburn | Chiropractor | 4937 Saundersville Rd., Old Hickory, TN 37138 | 2006-08-23 |
| 1558372565 | Charles Frederick Ramsey | Chiropractor | 118 Bridgeway Ave, Old Hickory, TN 37138 | 2006-08-11 |
| 1497144133 | Rachel Keiper | Physician Assistant | 70 Old Hickory Blvd, Old Hickory, TN 37138 | 2015-01-19 |
| 1619068285 | Earl L Arnold | Chiropractor | 14625 Lebanon Rd, Suite F, Old Hickory, TN 37138 | 2006-09-27 |
| 1144327198 | Fred Taylor Kimbrell Jr. | Surgery | 706 Bay Ct, Old Hickory, TN 37138-1001 | 2006-09-20 |
| 1023481090 | Richard Sanders | Radiology | 611 Bedford Forest Ct, Old Hickory, TN 37138-1006 | 2015-11-12 |
| Find all providers in zip 37138 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588813489 | Nancy Carol Robertson | Massage Therapist | 15285 Lebanon Rd, Old Hickory, TN 37138-1803 | 2008-09-16 |
| 1750530689 | Barbara Lynn Steele | Massage Therapist | 15285 Lebanon Rd, Old Hickory, TN 37138-1803 | 2008-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788274 | Gary Justin Farr | Massage Therapist | 978 Fred Ford Rd, Crossville, TN 38571-0261 | 2020-10-24 |
| 1548868078 | Brian Christopher Covington | Massage Therapist | 93 Weakley Ln Apt B20, Smyrna, TN 37167-4368 | 2020-10-16 |
| 1003414293 | Jack Weair Wooten Jr. | Massage Therapist | 2612 W Heiman St Apt D38, Nashville, TN 37208-1818 | 2020-10-12 |
| 1982211421 | Jason Joseph | Massage Therapist | 173 Whitman Aly, Clarksville, TN 37043-6340 | 2020-09-29 |
| 1992312987 | Louise Thackston Rikard | Massage Therapist | 483 Russell Hill Rd, Speedwell, TN 37870-7161 | 2020-09-24 |
| 1275149320 | Zachary Reagan Riddle | Massage Therapist | 206 Copper Ridge Trl, Rockvale, TN 37153-4655 | 2020-09-23 |
| 1497361729 | Marie C Anderson | Massage Therapist | 3157 Skinner Dr, Antioch, TN 37013-3965 | 2020-09-22 |
| 1982210340 | Ashley Hiatt | Massage Therapist | 514 Peach Creek Cres, Nashville, TN 37214-3351 | 2020-09-21 |
| 1922613587 | Tina Marie Bridges Byaridge | Massage Therapist | 300 E Vine St, Murfreesboro, TN 37130-4248 | 2020-09-10 |
| 1497368351 | Bradley Chase Hutchinson | Massage Therapist | 131 Savannah Ave, Pleasant View, TN 37146-7165 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | OLD HICKORY |
| Zip Code | 37138 |
Please comment or provide details below to improve the information on DERRICK DEWAYNE CRAWFORD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.