Mr. Edward T Blackmon, LMT
Massage Therapist in Boston, Massachusetts
1336585645- Practice location
- 304 Newbury St, Ste 114, Boston, MA 02115-2839
- Phone
- 617-372-5907
- Fax
- —
- Last updated
- May 14, 2013
Edward Terrell Blackmon is a Massage Therapist based in Boston, MA. Edward Terrell Blackmon practices in Boston, MA and has the professional credentials of LMT. The NPI Number for Edward Terrell Blackmon is 1336585645 and holds a License No. 9471 (MA). The current practice location address for Edward Terrell Blackmon is 304 Newbury St, Ste 114, Boston, MA 02115-2839 and can be reached out via phone at 617-372-5907.
Provider Profile Details
- NPI Number
- 1336585645
- Provider Name
- Edward Terrell Blackmon
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 304 Newbury St, Ste 114, Boston, MA 02115-2839
- Phone Number
- 617-372-5907
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 14, 2013
- Last Update Date
- May 14, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 304 Newbury St
Ste 114
Boston, MA 02115-2839 - City
- Boston
- State
- Massachusetts
- Zip
- 02115-2839
- Phone Number
- 617-372-5907
Provider Business Mailing Address Details
- Address
- 581 Boylston St
Ste 406
Boston, MA 02116-3608 - City
- Boston
- State
- MA
- Zip
- 02116-3608
- Phone Number
- 617-372-5907
License Information
- License Number
- 9471
- License State
- MA
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Edward T Blackmon, LMT?
The NPI number of Mr. Edward T Blackmon, LMT is 1336585645. It was assigned on May 14, 2013 and is currently active in the NPPES registry.
What is the specialty of Mr. Edward T Blackmon, LMT?
Mr. Edward T Blackmon, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 9471.
Where does Mr. Edward T Blackmon, LMT practice?
The practice location is 304 Newbury St, Ste 114, Boston, MA 02115-2839. The office can be reached at 617-372-5907 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336585645 directly on the NPPES registry website.