Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek McClasky

Individual provider Massage Therapist · NPI 1073490694

Derek McClasky is a Massage Therapist in Loganville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
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Practice location Address checks out

2120 Emerald Dr
Loganville, GA 30052-5591
Phone: (614) 288-9036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X (GA)

Record details

NPI number1073490694
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 17, 2025
Mailing address2120 Emerald Dr, Loganville, GA 30052-5591

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