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Johnson Blaise, LMT
Massage Therapist in Longwood, Florida
NPI 1518117225

Johnson Blaise is a Massage Therapist based in Longwood, FL. Johnson Blaise practices in Longwood, FL and has the professional credentials of LMT. The NPI Number for Johnson Blaise is 1518117225 and holds a License No. MA52522 (Florida).

The current practice location address for Johnson Blaise is 2648 W Sr 434, Longwood, FL and can be reached out via phone at 407-788-7778 and via fax at 407-788-7770.

Location: 2648 W Sr 434, Longwood, FL, 32779-4440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518117225
Provider Name
Johnson Blaise
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2648 W Sr 434, Longwood, FL, 32779-4440
Phone Number
407-788-7778
Fax Number
407-788-7770
Provider Enumeration Date
09/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2648 W Sr 434
City
Longwood
State
Florida
Zip
32779-4440
Phone Number
407-788-7778
Fax Number
407-788-7770
person
Provider Business Mailing Address Details
Address
2648 W Sr 434
City
Longwood
State
Florida
Zip
32779-4440
Phone Number
407-788-7778
Fax Number
407-788-7770
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA52522 (Florida)
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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