Individual provider · Type 1 NPI

Clarisa Renee Blackwell, LMBT, MMP

Massage Therapist · Wilson, NC

NPI number 1922596378 Active

Practice location

2223 Nash St NW
Wilson, NC 27896-1735

Call (919) 827-7461 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12977 (NC)

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 1922596378

Clarisa Renee Blackwell, LMBT, MMP's National Provider Identifier is 1922596378, issued on May 1, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wilson, NC. The record was last updated on May 1, 2018.