Individual provider · Type 1 NPI

Blake Broeker, LMT

Massage Therapist · Fishers, IN

NPI number 1942934674 Active

Practice location

8594 E 116th St Apt 250
Fishers, IN 46038-1581

Call (812) 631-0547 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT22207690 (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 1942934674

Blake Broeker, LMT's National Provider Identifier is 1942934674, issued on Jul 9, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fishers, IN. The record was last updated on Jul 9, 2022.