Individual provider · Type 1 NPI
Pamela Gail Blaine, LMT
Massage Therapist · Bardstown, KY
NPI number
1255650883
Active
Practice location
1411 Oak Knoll Dr
Bardstown, KY 40004-9345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | KY0039 (KY) |
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 1255650883
Pamela Gail Blaine, LMT's National Provider Identifier is 1255650883, issued on May 21, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bardstown, KY. The record was last updated on May 21, 2010.