Individual provider · Type 1 NPI

Blake Ashley Middleton, LMT, CA

Massage Therapist · Gladstone, OR

NPI number 1407570708 Active

Practice location

375 W Gloucester St
Gladstone, OR 97027-2036

Call (360) 270-5890 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26981 (OR)

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 1407570708

Blake Ashley Middleton, LMT, CA's National Provider Identifier is 1407570708, issued on Sep 29, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gladstone, OR. The record was last updated on Sep 29, 2022.