Wanda Lynn Blake in Newberry - Massage Therapist
Wanda Lynn Blake - NPI 1578762803
Wanda Lynn Blake is a Massage Therapist in Newberry, Florida. Wanda Lynn Blake practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Wanda Lynn Blake is 1578762803. The last update date is 2007-07-17.
Wanda Lynn Blake's current location address is 1411 Sw 252nd Ter, Newberry, Florida. You can contact this provider via phone number 3524729004. The mailing address for Wanda Lynn Blake is 1411 Sw 252nd Ter, Newberry, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda Lynn Blake |
|---|---|
| Address | 1411 Sw 252nd Ter, Newberry, Florida |
| Phone Number | 3524729004 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.N. LMT |
NPI Number Detail
| NPI Number | 1578762803 |
|---|---|
| Provider Enumeration Date | 2007-07-17 |
| Last Updated Date | 2007-07-17 |
Provider Mailing Address Detail
| Address | 1411 Sw 252nd Ter |
|---|---|
| City | Newberry |
| State | Florida (FL) |
| Post Code | 326694416 |
| Phone Number | 3524729004 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA34000 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Wanda Lynn Blake by the Centers for Medicare & Medicaid Services?
The Wanda Lynn Blake has been assigned the NPI (National Provider Identifier) 1578762803. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Wanda Lynn Blake?
The Wanda Lynn Blake is situated at 1411 Sw 252Nd Ter, in the city of Newberry, state of FL, with the zip code 326694416.
What is the area of specialization for Wanda Lynn Blake, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wanda Lynn Blake is Massage Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225700000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578762803 to Wanda Lynn Blake?
The Centers for Medicare & Medicaid Services assigned the 1578762803 to Wanda Lynn Blake on 2007-07-17.
As of what date were the details pertaining to Wanda Lynn Blake last refreshed?
The information related to the Wanda Lynn Blake, including its address, specialty, and other relevant details, was last updated on 2007-07-17.