Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Demitria Marie Derrico

Individual provider Athletic Trainer · NPI 1366166043

Demitria Marie Derrico is an Athletic Trainer in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.

Licensed in
MA
In the registry since
2022

Practice location Address checks out

285 Babcock St
Boston, MA 02215-1003
Phone: (617) 353-2746
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 3713 (MA)

Record details

NPI number1366166043
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

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