Individual provider · Type 1 NPI

Elaine Kelley Blake, L.M.T.

Massage Therapist · Tampa, FL

NPI number 1194922724 Active

Practice location

1010 E Busch Blvd Ste 103
Tampa, FL 33612-8502

Call (813) 935-7987 Map

Fax (813) 931-5215

Mailing address

501 Feather Tree Dr
Clearwater, FL 33765-2456

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA12360 (FL)

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 1194922724

Elaine Kelley Blake, L.M.T.'s National Provider Identifier is 1194922724, issued on Jun 28, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tampa, FL. The record was last updated on Jul 8, 2007.