MEDICARE: DEREK R MAZEROLLE LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	6679	SC

General Provider Information

NPI Number	:	1659647428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEREK R MAZEROLLE LMT

Provider Business Mailing Address
First Line	:	1233 BEN SAWYER BLVD
Second Line	:	SUITE 400
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-4577
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1233 BEN SAWYER BLVD
Second Line	:	SUITE 400
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-4577
Country	:	US
Telephone Number	:	843-881-8408
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2012
Last Update Date	:	03/27/2012

Similar Medicare Providers

1275652588 — MRS. JODIE TAYLOR MORGAN MASTER'S
Practice Location Address:

1233 BEN SAWYER BLVD , SUITE 700
MT PLEASANT, SC
29464-4577

Practice Phone: 843-884-3332
Practice Fax:

1124336466 — MRS. KATHRYN KIRSCHNER EDWARDS MS, CF-SLP
Practice Location Address:

1233 BEN SAWYER BLVD , SUITE 500
MT PLEASANT, SC
29464-4577

Practice Phone: 843-697-6640
Practice Fax: 803-675-0787

1699048835 — ALI REA
Practice Location Address:

1233 BEN SAWYER BLVD , SUITE 500
MT PLEASANT, SC
29464-4577

Practice Phone: 843-697-0396
Practice Fax:

1558707349 — WHITNEY J TAPP MA
Practice Location Address:

1233 BEN SAWYER BLVD , SUITE 500
MT PLEASANT, SC
29464-4577

Practice Phone: 843-697-0396
Practice Fax:

1134123045 — ALLISON THERAPEUTICS, LLC
Practice Location Address:

1233 BEN SAWYER BLVD , SUITE 500
MOUNT PLEASANT, SC
29464-4577

Practice Phone: 843-697-0396
Practice Fax: 803-675-0787

1780647610 — MRS. JENNIFER ALLLISON REIDENBACH MSR, CCC-SLP
Practice Location Address:

1233 BEN SAWYER BLVD , SUITE 500
MOUNT PLEASANT, SC
29464-4577

Practice Phone: 843-697-0396
Practice Fax: 864-640-8011

Directions to “ DEREK R MAZEROLLE LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.