Brandy L Blake in Puyallup - Massage Therapist

Brandy L Blake - NPI 1487873378

Brandy L Blake is a Massage Therapist in Puyallup, Washington. Brandy L Blake practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Brandy L Blake is 1487873378. The last update date is 2011-12-29.

Brandy L Blake's current location address is 8411 110th Street Ct E, Puyallup, Washington. You can contact this provider via phone number 2069407226 and fax number 2538268180. The mailing address for Brandy L Blake is 8411 110th Street Ct E, Puyallup, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Brandy L Blake
Address 8411 110th Street Ct E, Puyallup, Washington
Phone Number 2069407226
Fax Number 2538268180
Sole Proprietor Y
Credentials LMP

NPI Number Detail

NPI Number 1487873378
Provider Enumeration Date 2007-04-25
Last Updated Date 2011-12-29

Provider Mailing Address Detail

Address 8411 110th Street Ct E
City Puyallup
State Washington (WA)
Post Code 983736002
Phone Number 2069407226
Fax Number 2538268180

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA00018865
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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FAQs about Brandy L Blake

What is the unique identifier code issued to Brandy L Blake by the Centers for Medicare & Medicaid Services?

The Brandy L Blake has been assigned the NPI (National Provider Identifier) 1487873378. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Brandy L Blake is geographically located?

The Brandy L Blake is physically situated at the following location: 8411 110Th Street Ct E, Puyallup, WA, 983736002.

What is the area of specialization for Brandy L Blake, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Brandy L 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 1487873378 to Brandy L Blake?

The Centers for Medicare & Medicaid Services assigned the 1487873378 to Brandy L Blake on 2007-04-25.

When was the information pertaining to Brandy L Blake most recently updated or revised?

The details related to Brandy L Blake, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-29.

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