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Wanda Lynn Blake, RNLMT
Massage Therapist in Newberry, Florida
NPI 1578762803

Wanda Lynn Blake is a Massage Therapist based in Newberry, FL. Wanda Lynn Blake practices in Newberry, FL and has the professional credentials of RNLMT. The NPI Number for Wanda Lynn Blake is 1578762803 and holds a License No. MA34000 (Florida).

The current practice location address for Wanda Lynn Blake is 1411 Sw 252Nd Ter, Newberry, FL and can be reached out via phone at 352-472-9004.

Location: 1411 Sw 252Nd Ter, Newberry, FL, 32669-4416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578762803
Provider Name
Wanda Lynn Blake
Credential
RNLMT
Provider Entity Type
Individual
Gender
Female
Address
1411 Sw 252Nd Ter, Newberry, FL, 32669-4416
Phone Number
352-472-9004
Fax Number
Provider Enumeration Date
07/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1411 Sw 252Nd Ter
City
Newberry
State
Florida
Zip
32669-4416
Phone Number
352-472-9004
Fax Number
person
Provider Business Mailing Address Details
Address
1411 Sw 252Nd Ter
City
Newberry
State
Florida
Zip
32669-4416
Phone Number
352-472-9004
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA34000 (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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