Individual provider · Type 1 NPI

Brandon Blacka, MHT

Massage Therapist · Spanish Fork, UT

NPI number 1992216105 Active

Practice location

800 N 100 E
Spanish Fork, UT 84660-5577

Call (801) 504-6125 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X9353585-4701 (UT)

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 1992216105

Brandon Blacka, MHT's National Provider Identifier is 1992216105, issued on Oct 14, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Spanish Fork, UT. The record was last updated on Oct 14, 2017.