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DEREK RUDOLPH CMT
NPI 1568812899
Massage Therapist in Blacksburg, VA

Active since June 17, 2016
1999 S MAIN ST, STE 303 B, BLACKSBURG, VA 24060(540) 798-7525 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Derek Rudolph Cmt NPPES

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

DEREK RUDOLPH CMT (NPI 1568812899) is an individual massage therapist in Blacksburg, Virginia, licensed in Virginia (0019013520) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1568812899
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDEREK RUDOLPHCredential: CMT
Location Address1999 S MAIN ST, STE 303 BBlacksburg, VA 24060-6634
Mailing Address1999 S Main St, Ste 303 BBlacksburg, VA 24060-6634 · (540) 798-7525
Phone(540) 798-7525
Sole ProprietorNo
Enumeration DateJune 17, 2016
✔ NPI 1568812899 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 VA · 0019013520
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.
1999 S MAIN ST, Blacksburg, VA 24060
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Other Providers at the Same Location NPPES 7

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

DR. HERMAN THOMAS MULLIS PHD, LPC, LMFT
Counselor (Professional)
1999 S MAIN ST, SUITE J
BLACKSBURG, VA 24060
Montgomery County (540) 818-0566
PEAK PERFORMANCE CHIROPRACTIC INC
Chiropractor
1999 S MAIN ST, SUITE 305-A
BLACKSBURG, VA 24060
Montgomery County (540) 552-3671
DR. KENNETH TODD HICKS D.C.
Chiropractor
1999 S MAIN ST, SUITE 305-A
BLACKSBURG, VA 24060
Montgomery County (540) 552-3671
STILLPOINT OSTEOPATHIC MEDICINE
Clinic/Center (Primary Care)
1999 S MAIN ST, SUITE 305-A
BLACKSBURG, VA 24060
Montgomery County (540) 552-2302
DR. MARILYN K. HUTCHINS ED.D.
Counselor (Mental Health)
1999 S MAIN ST, 505J
BLACKSBURG, VA 24060
Montgomery County (540) 961-9330
TOMMY MIKAL AMAL
Driver
1999 S MAIN ST, 303-C
BLACKSBURG, VA 24060
Montgomery County (773) 818-9052
ALTERNATIVES CENTER, INC.
Community/Behavioral Health
1999 S MAIN ST, SUITE 305-B
BLACKSBURG, VA 24060
Montgomery County (540) 552-5558

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Rudolph's NPI number?

The NPI number for Derek Rudolph is 1568812899. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Derek Rudolph located?

Derek Rudolph practices at 1999 S Main St Ste 303 B, Blacksburg, VA 24060. The listed phone number is (540) 798-7525.

What is Derek Rudolph's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Derek Rudolph was last updated on June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.