Individual provider · Type 1 NPI

Summer Nichole Blake, LMT

Massage Therapist · Montrose, CO

NPI number 1184031361 Active

Practice location

1545 Ogden Rd
Montrose, CO 81401-5683

Call (404) 395-5026 Map

Mailing address

216 N Stough Ave, Apartment 1 A
Montrose, CO 81401-3770

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT0016519 (CO)

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 1184031361

Summer Nichole Blake, LMT's National Provider Identifier is 1184031361, issued on Jul 19, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Montrose, CO. The record was last updated on Jul 19, 2014.