Mcclasky, Derek
Mcclasky, Derek is an sole proprietor health care provider with primary practice located at 2120 Emerald Dr , Loganville GA 30052-5591. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Mcclasky, Derek can be contacted via phone (614) 288-9036.Contact Information
Primary practice address
2120 Emerald Dr
Loganville GA 30052-5591
Phone: (614) 288-9036
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | Georgia |
Profile Details
| NPI number | 1073490694 |
|---|---|
| LBN Legal business name | Mcclasky, Derek |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2025 |
| Last updated | Aug 18th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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