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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEREK RUDOLPH, CMT

Active

DEREK RUDOLPH, CMT is a Massage Therapist healthcare provider located in BLACKSBURG, Virginia. NPI 1568812899 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · BLACKSBURG, VA

Registration Details

NPI Number
1568812899
Provider Type
Individual
Gender
Male
NPI Issued
Jun 17, 2016 (10.12820219782 yrs)
Last Updated
Jun 17, 2016
License
0019013520 (VA)

Practice Information

Address
1999 S MAIN ST
STE 303 B
BLACKSBURG, VA, 240606634
Browse VA providers · Browse ZIP 24060
Phone
5407987525
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in BLACKSBURG, VA

Name Credential NPI
MISS MELANIE JANAY DOWELL L.M.T. 1346473410
MRS. CARRIE ELAINE BOUCHER LMT 1174814487
BRIAN MAKRIS CMT 1629427455
NANCY MIGNONE LMT 1922648807
LELA E KELSEY LMT 1164062022
BRITTNI WOOLWINE RD, LMT 1760013130
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.