Claire Marie J Derks, LMT, RN

Individual provider Active NPI Massage Therapist · Fremont, MI

NPI 1437632437 · NPPES record last updated Sep 14, 2018

Key facts

NPI
1437632437
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
7501011030 (MI)
Practice address
119 North Stone Road
Fremont, MI 49412
Phone
(231) 924-2590
Fax
(231) 924-6560
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
7501011030MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BJS Chiropractic, PLC Past Accepting new patients
Semlow Chiropractic Center, PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501011030 MI Yes

Addresses

Primary practice location

119 North Stone Road
Fremont, MI 49412

Mailing address

119 North Stone Road
Fremont, MI 49412
Phone (231) 924-2590

Other names

  • Claire Marie J. Steinberg-Derks Other name

Other providers in Fremont, MI

All providers in Fremont, MI · Massage Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.