Individual provider · Type 1 NPI
Leanna Suzette Johnson Blackburn
Massage Therapist · Columbus, OH
NPI number
1609380476
Active
Practice location
5424 W Broad St
Columbus, OH 43228-1155
Fax (614) 870-7288
Mailing address
3100 Lewis Rd
Columbus, OH 43207-3701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 33.017176 (OH) |
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 1609380476
Leanna Suzette Johnson Blackburn's National Provider Identifier is 1609380476, issued on Nov 30, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbus, OH. The record was last updated on Jan 14, 2018.