DEREK AUTHIER LMT
NPI 1497151955
Massage Therapist in Blaine, MN

Active since November 11, 2014
10705 TOWN SQUARE DR NE, BLAINE, MN 55449(651) 491-7176 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derek Authier Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK AUTHIER LMT (NPI 1497151955) is an individual massage therapist in Blaine, Minnesota, licensed in Minnesota (14-07317) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1497151955
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDEREK AUTHIERCredential: LMT
Location Address10705 TOWN SQUARE DR NEBlaine, MN 55449-8184
Mailing Address10705 Town Square Dr NeBlaine, MN 55449-8184
Sole ProprietorYes
Enumeration DateNovember 11, 2014
Last NPPES UpdateFebruary 27, 2015
NPI 1497151955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in MN · 14-07317
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.

10705 TOWN SQUARE DR NE, Blaine, MN 55449

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
10705 TOWN SQUARE DR NE, SUITE 100
BLAINE, MN 55449
Chiropractor (Pediatric Chiropractor)
10705 TOWN SQUARE DR NE, STE 220
BLAINE, MN 55449
Chiropractor
10705 TOWN SQUARE DR NE, SUITE 220
BLAINE, MN 55449
Family Medicine
10705 TOWN SQUARE DR NE, SUITE 100
BLAINE, MN 55449
Nurse Practitioner
10705 TOWN SQUARE DR NE
BLAINE, MN 55449
Family Medicine
10705 TOWN SQUARE DR NE, SUITE 100
BLAINE, MN 55449
Nurse Practitioner (Family)
10705 TOWN SQUARE DR NE
BLAINE, MN 55449
Family Medicine
10705 TOWN SQUARE DR NE, SUITE 100
BLAINE, MN 55449

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497151955, enumerated as an "individual" on November 11, 2014.

The provider is located at 10705 TOWN SQUARE DR NE BLAINE, MN 55449 and the phone number is (651) 491-7176.

Massage Therapist with taxonomy code 225700000X.