Individual provider · Type 1 NPI

Melody Blackmore, LMT

Massage Therapist · Yorkville, NY

NPI number 1912477795 Active

Practice location

5094 Commercial Dr
Yorkville, NY 13495-1106

Mailing address

105 Sunray Ter # D
Oriskany, NY 13424-4739

Other practice locations

  • 105 Sunray Ter # D, Oriskany, NY 13424-4739 · (518) 323-7460

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X028001 (NY)

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 1912477795

Melody Blackmore, LMT's National Provider Identifier is 1912477795, issued on Dec 5, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Yorkville, NY. The record was last updated on Dec 5, 2018.