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Derek Authier, LMT
Massage Therapist in Blaine, Minnesota
NPI 1497151955

Derek Authier is a Massage Therapist based in Blaine, MN. Derek Authier practices in Blaine, MN and has the professional credentials of LMT. The NPI Number for Derek Authier is 1497151955 and holds a License No. 14-07317 (Minnesota).

The current practice location address for Derek Authier is 10705 Town Square Dr Ne, Blaine, MN and can be reached out via phone at 651-491-7176.

Location: 10705 Town Square Dr Ne, Blaine, MN, 55449-8184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497151955
Provider Name
Derek Authier
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
10705 Town Square Dr Ne, Blaine, MN, 55449-8184
Phone Number
651-491-7176
Fax Number
Provider Enumeration Date
11/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10705 Town Square Dr Ne
City
Blaine
State
Minnesota
Zip
55449-8184
Phone Number
651-491-7176
Fax Number
person
Provider Business Mailing Address Details
Address
10705 Town Square Dr Ne
City
Blaine
State
Minnesota
Zip
55449-8184
Phone Number
651-491-7176
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
14-07317 (Minnesota)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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