Individual provider · Type 1 NPI

Courtney M. Blaze, CMT

Massage Therapist · Mishawaka, IN

NPI number 1639884422 Active

Practice location

229 Red Coach Dr Ste 106
Mishawaka, IN 46545-3195

Call (574) 318-7800 Map

Fax (574) 318-7839

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT22207831 (IN)

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 1639884422

Courtney M. Blaze, CMT's National Provider Identifier is 1639884422, issued on Jan 17, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mishawaka, IN. The record was last updated on Jan 17, 2023.