Individual provider · Type 1 NPI

Blake Russell Henderson

Massage Therapist · Kansas City, MO

NPI number 1295342848 Active

Practice location

515 W 75th St
Kansas City, MO 64114-1512

Call (816) 745-6270 Map

Mailing address

4407 NE 45th Ter
Kansas City, MO 64117-1823

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1295342848

Blake Russell Henderson's National Provider Identifier is 1295342848, issued on Sep 28, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kansas City, MO. The record was last updated on Sep 28, 2020.