Individual provider · Type 1 NPI

Tomica D. Blake, MT

Massage Therapist · Livonia, MI

NPI number 1356679088 Active

Practice location

16801 Newburgh Rd, Suite 114
Livonia, MI 48154-1606

Mailing address

5000 Town Ctr, Suite 2001
Southfield, MI 48075-1110

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 1356679088

Tomica D. Blake, MT's National Provider Identifier is 1356679088, issued on Nov 18, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Livonia, MI. The record was last updated on Nov 18, 2009.