Individual provider · Type 1 NPI
Absalom Blackmon, RKT, LMT, MMP, CPS
Massage Therapist · Tampa, FL
NPI number
1407474919
Active
Practice location
4822 River Vista Ln Apt B
Tampa, FL 33617-7589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 227022111 (IL) |
| Kinesiotherapist | 226300000X | 2055 (IL) |
| Kinesiotherapist | 226300000X | 2055 (FL) |
| Massage Therapist Primary | 225700000X | MA100038 (FL) |
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 1407474919
Absalom Blackmon, RKT, LMT, MMP, CPS's National Provider Identifier is 1407474919, issued on Jul 10, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tampa, FL. The record was last updated on May 15, 2023.