Individual provider · Type 1 NPI

William Kelly Blackburn, MASSAGE THERAPY

Massage Therapist · Kent, WA

NPI number 1033683529 Active

Practice location

24620 Russell Rd Apt D102
Kent, WA 98032-4745

Call (941) 276-5651 Map

Mailing address

680 NW Gilman Blvd Ste A
Issaquah, WA 98027-2454

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60751082 (WA)

Massage Therapist: 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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About NPI 1033683529

William Kelly Blackburn, MASSAGE THERAPY's National Provider Identifier is 1033683529, issued on Jan 17, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kent, WA. The record was last updated on Jan 17, 2019.