Organization Name: | DERYKE AND ASSOCIATES |
NPI Number: | 1275690984 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOE DERYKE (SCG) |
Mailing Address: | 201 E Hamilton Ave Campbell |
State: | CA US |
Postal Code: | 950080206 |
Phone Number: | 4083760900 |
Fax Number: | 4083760886 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 02/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |