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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 5716461-4701 (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.