| Derek Rudolph, CMT | |
|
1999 S Main St, Ste 303 B, Blacksburg, VA 24060-6634 | |
| (540) 798-7525 | |
| Not Available |
| Full Name | Derek Rudolph |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 1999 S Main St, Blacksburg, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568812899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 0019013520 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Rudolph, CMT 1999 S Main St, Ste 303 B, Blacksburg, VA 24060-6634 Ph: (540) 798-7525 | Derek Rudolph, CMT 1999 S Main St, Ste 303 B, Blacksburg, VA 24060-6634 Ph: (540) 798-7525 |
Body Balance Therapeutic Massage Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Professional Park Dr Se, Suite 10, Blacksburg, VA 24060 Phone: 540-605-8751 Fax: 540-750-4062 | |
Loretta Dee Taylor, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Professional Park Dr Se Ste 10, Blacksburg, VA 24060 Phone: 540-605-8751 | |
Lela E Kelsey, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 714 Barringer Dr, Blacksburg, VA 24060 Phone: 540-239-1346 | |
Mrs. Carrie Elaine Boucher, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Professional Park Dr Se Ste 10, Blacksburg, VA 24060 Phone: 540-605-8751 Fax: 540-750-4062 | |
Miss Melanie Janay Dowell, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 460 Turner St Nw, Suite 202, Blacksburg, VA 24060 Phone: 540-808-6680 Fax: 540-552-6688 | |
Tatayna Kiaschwan Rucker, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1781 Liberty Ln Apt 55, Blacksburg, VA 24060 Phone: 434-826-9205 |