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Blake Russell Henderson
Massage Therapist in Kansas City, Missouri
NPI 1295342848

Blake Russell Henderson is a Massage Therapist based in Kansas City, MO. Blake Russell Henderson practices in Kansas City, MO. The NPI Number for Blake Russell Henderson is 1295342848 and holds a License No. (Missouri).

The current practice location address for Blake Russell Henderson is 515 W 75Th St, Kansas City, MO and can be reached out via phone at 816-745-6270.

Location: 515 W 75Th St, Kansas City, MO, 64117-1823
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295342848
Provider Name
Blake Russell Henderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
515 W 75Th St, Kansas City, MO, 64117-1823
Phone Number
816-745-6270
Fax Number
Provider Enumeration Date
09/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
515 W 75Th St
City
Kansas City
State
Missouri
Zip
64114-1512
Phone Number
816-745-6270
Fax Number
person
Provider Business Mailing Address Details
Address
515 W 75Th St
City
Kansas City
State
Missouri
Zip
64114-1512
Phone Number
816-745-6270
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
(Missouri)
Definition
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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