Elaine Kelley Blake in Tampa - Massage Therapist
Elaine Kelley Blake - NPI 1194922724
Elaine Kelley Blake is a Massage Therapist in Tampa, Florida. Elaine Kelley Blake practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Elaine Kelley Blake is 1194922724. The last update date is 2007-07-08.
Elaine Kelley Blake's current location address is 1010 E Busch Blvd Ste 103, Tampa, Florida. You can contact this provider via phone number 8139357987 and fax number 8139315215. The mailing address for Elaine Kelley Blake is 1010 E Busch Blvd Ste 103, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Elaine Kelley Blake |
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Address | 1010 E Busch Blvd Ste 103, Tampa, Florida |
Phone Number | 8139357987 |
Fax Number | 8139315215 |
Sole Proprietor | Y |
Credentials | L.M.T. |
NPI Number Detail
NPI Number | 1194922724 |
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Provider Enumeration Date | 2007-06-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1010 E Busch Blvd Ste 103 |
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City | Tampa |
State | Florida (FL) |
Post Code | 336128502 |
Phone Number | 8139357987 |
Fax Number | 8139315215 |
Provider's Primary Taxonomy Detail
Speciality | Massage Therapist |
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Taxonomy | 225700000X |
Licence No | MA12360 |
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. |
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What is the unique 10-digit identifier code issued to Elaine Kelley Blake by the Centers for Medicare & Medicaid Services?
The Elaine Kelley Blake has been assigned the NPI (National Provider Identifier) 1194922724 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Elaine Kelley Blake located?
The Elaine Kelley Blake is located at 1010 E Busch Blvd Ste 103, Tampa, FL 336128502.
What is Elaine Kelley Blake's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elaine Kelley Blake is Massage Therapist, and the taxonomy code that categorizes this field of expertise is 225700000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194922724 to Elaine Kelley Blake?
The Elaine Kelley Blake received its 1194922724 assignment from the Centers for Medicare & Medicaid Services on 2007-06-28.
When was the information related to Elaine Kelley Blake most recently updated or refreshed?
The details pertaining to the Elaine Kelley Blake, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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