Individual provider · Type 1 NPI

Wanda Lynn Blake, R.N. LMT

Massage Therapist · Newberry, FL

NPI number 1578762803 Active

Practice location

1411 SW 252nd Ter
Newberry, FL 32669-4416

Call (352) 472-9004 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA34000 (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 1578762803

Wanda Lynn Blake, R.N. LMT's National Provider Identifier is 1578762803, issued on Jul 17, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Newberry, FL. The record was last updated on Jul 17, 2007.