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

Derrick Jesse Phillips

Individual provider Massage Therapist · NPI 1700512423

Derrick Jesse Phillips is a Massage Therapist in Arlington, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2022

Practice location Address checks out

1616 Ridge Haven Dr Apt 510
Arlington, TX 76011-9097
Phone: (817) 658-8367
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 1315697 (TX)

Record details

NPI number1700512423
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 26, 2022
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022
Mailing address1616 Ridge Haven Dr Apt 510, Arlington, TX 76011-9097

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