Individual provider · Type 1 NPI

Mesha Rena Blackwell

Massage Therapist · Oakbrook Terrace, IL

NPI number 1073128419 Active

Practice location

410 Renaissance Blvd
Oakbrook Terrace, IL 60181-4800

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227013953 (IL)

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 1073128419

Mesha Rena Blackwell's National Provider Identifier is 1073128419, issued on Sep 12, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Oakbrook Terrace, IL. The record was last updated on Sep 12, 2020.