Individual provider · Type 1 NPI
Melissa Blackburn, LMT
Massage Therapist · Blanco, TX
NPI number
1174355143
Active
Practice location
718 4th St
Blanco, TX 78606-5569
Mailing address
PO Box 1362
Blanco, TX 78606-1362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT-100302 (TX) |
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.
About NPI 1174355143
Melissa Blackburn, LMT's National Provider Identifier is 1174355143, issued on Aug 17, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Blanco, TX. The record was last updated on Aug 17, 2024.