Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497151955 Individual Practitioner Male Practitioner

Derek Authier , LMT

Massage Therapist • Blaine, MN

Professional Overview & Biography Verified Profile Summary

Derek Authier, LMT is a registered healthcare professional specializing in Massage Therapist in Blaine, MN. Practice services are available at 10705 TOWN SQUARE DR NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10705 Town Square Dr Ne

Blaine, MN 554498184

Telephone 6514917176
Associated Practice Facility / Clinic
🏢 Elevated Health Center Facility NPI 1033526538

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Blaine, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Blaine, MN (1285 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License MN 14-07317

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1154796761

Doctor of Chiropractic

Anne Lillyblad , FNP

Nurse Practitioner - Family

NPI 1245606961

Family Nurse Practitioner

Dr. Mark Scheible , MD

Family Medicine

NPI 1255342242

Doctor of Medicine (M.D.)

Catherine Martin , RN, CNP

Nurse Practitioner - Family

NPI 1285891135

Registered Nurse, Certified Nurse Practitioner

Dr. Jennifer Auge , MD

Family Medicine

NPI 1467415125

Doctor of Medicine (M.D.)

Kristen Lewicki , NP-C

Nurse Practitioner

NPI 1760730980

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2015

Registered at 10705 TOWN SQUARE DR NE, BLAINE, MN 554498184 (Tel: 6514917176)

📍
Updated Business Mailing Address February 27, 2015

Registered at 10705 TOWN SQUARE DR NE, BLAINE, MN 554498184

👤
Provider Name / Credentials Updated February 27, 2015

Recorded as DEREK AUTHIER, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2015

Massage Therapist (License #14-07317 in MN)

🟢
Initial NPI Registration & Enumeration November 11, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497151955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2014
Last Update: February 27, 2015
Sole Proprietor: Yes

Mailing Address

10705 Town Square Dr Ne

Blaine, MN 554498184

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.