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

Mr. Derrick A Powell, LMT

Individual provider Massage Therapist · NPI 1487390084

Mr. Derrick A Powell, LMT is a Massage Therapist in Round Lake, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

586 S Rosehall Ln
Round Lake, IL 60073-4268
Phone: (847) 505-6944
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 227.022514 (IL)
Massage Therapist Taxonomy 225700000X · Licence 227022514 (IL)

Record details

NPI number1487390084
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMay 7, 2022
Last updated in NPPESMay 7, 2022
Certification dateMay 5, 2022
Mailing address586 S Rosehall Ln, Round Lake, IL 60073-4268

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