Individual provider · Type 1 NPI

Brandon Blair, NCTMB

Massage Therapist · Salt Lake City, UT

NPI number 1205173697 Active

Practice location

455 E 400 S, Ste 20
Salt Lake City, UT 84111-3008

Mailing address

3832 S Big River Way, Unit 2
Salt Lake City, UT 84119-7430

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X5716461-4701 (UT)

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 1205173697

Brandon Blair, NCTMB's National Provider Identifier is 1205173697, issued on Jan 7, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 7, 2013.