Darrick Stewart Roach, is a
Massage Therapist based in Crescent City, California. Darrick Stewart Roach is licensed to practice in California (license number 64848) and his current practice location is
1225 Marshall St., 18, Crescent City, California. He can be reached at his office (for appointments etc.) via phone at
(707) 954-8978.
NPI number for Darrick Stewart Roach is 1063969558 and his current mailing address is 1225 Marshall St., 18, Crescent City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063969558.
Healthcare Provider's Profile
| Full Name | Darrick Stewart Roach |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 1225 Marshall St., Crescent City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063969558
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 09/01/2016
Medical Identifiers
Medical identifiers for Darrick Stewart Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063969558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 64848 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Darrick Stewart Roach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Darrick Stewart Roach,
1225 Marshall St., 18,
Crescent City, CA 95531
Ph: (707) 954-8978 | Darrick Stewart Roach,
1225 Marshall St., 18,
Crescent City, CA 95531
Ph: (707) 954-8978 |
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