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Derek Rudolph, CMT
Massage Therapist in Blacksburg, Virginia
NPI 1568812899

Derek Rudolph is a Massage Therapist based in Blacksburg, VA. Derek Rudolph practices in Blacksburg, VA and has the professional credentials of CMT. The NPI Number for Derek Rudolph is 1568812899 and holds a License No. 0019013520 (Virginia).

The current practice location address for Derek Rudolph is 1999 S Main St, Blacksburg, VA and can be reached out via phone at 540-798-7525.

Location: 1999 S Main St, Blacksburg, VA, 24060-6634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568812899
Provider Name
Derek Rudolph
Credential
CMT
Provider Entity Type
Individual
Gender
Male
Address
1999 S Main St, Blacksburg, VA, 24060-6634
Phone Number
540-798-7525
Fax Number
Provider Enumeration Date
06/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1999 S Main St
City
Blacksburg
State
Virginia
Zip
24060-6634
Phone Number
540-798-7525
Fax Number
person
Provider Business Mailing Address Details
Address
1999 S Main St
City
Blacksburg
State
Virginia
Zip
24060-6634
Phone Number
540-798-7525
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
0019013520 (Virginia)
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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