Individual provider · Type 1 NPI

Tomsene Johnetta Blake

Massage Therapist · Bowie, MD

NPI number 1609480342 Active

Practice location

12115 Sutton Ln
Bowie, MD 20720-3562

Call (202) 528-3067 Map

Mailing address

PO Box 7465
Largo, MD 20792-7465

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XM01119 (MD)

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 1609480342

Tomsene Johnetta Blake's National Provider Identifier is 1609480342, issued on Sep 1, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bowie, MD. The record was last updated on Sep 1, 2020.