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Mr. Edward Terrell Blackmon, LMT
Massage Therapist in Boston, Massachusetts
NPI 1336585645

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 (Massachusetts).

The current practice location address for Edward Terrell Blackmon is 304 Newbury St, Boston, MA and can be reached out via phone at 617-372-5907. You can also correspond with Edward Terrell Blackmon through the mailing address at 581 BOYLSTON ST, BOSTON, MA - 02116-3608 (mailing address contact number: 617-372-5907).

Location: 304 Newbury St, Boston, MA, 02116-3608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336585645
Provider Name
Edward Terrell Blackmon
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
304 Newbury St, Boston, MA, 02116-3608
Phone Number
617-372-5907
Fax Number
Provider Enumeration Date
05/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
304 Newbury St
City
Boston
State
Massachusetts
Zip
02115-2839
Phone Number
617-372-5907
Fax Number
person
Provider Business Mailing Address Details
Address
581 Boylston St
City
Boston
State
Massachusetts
Zip
02116-3608
Phone Number
617-372-5907
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
9471 (Massachusetts)
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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