Individual provider · Type 1 NPI

Evette Blake, LMP

Massage Therapist · Port Angeles, WA

NPI number 1417279795 Active

Practice location

929 Eckard Pl
Port Angeles, WA 98362-6776

Call (360) 477-6358 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60108107 (WA)

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 1417279795

Evette Blake, LMP's National Provider Identifier is 1417279795, issued on Feb 27, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Angeles, WA. The record was last updated on Apr 21, 2010.