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Linda Ellen Blake
Massage Therapist in Northport, New York
NPI 1750097309

Linda Ellen Blake is a Massage Therapist based in Elwood, NY. Linda Ellen Blake practices in Northport, NY. The NPI Number for Linda Ellen Blake is 1750097309 and holds a License No. 012131 (New York).

The current practice location address for Linda Ellen Blake is 120 Woodbine Ave, Northport, NY and can be reached out via phone at 516-353-8891.

Location: 120 Woodbine Ave, Northport, NY, 11731-4835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750097309
Provider Name
Linda Ellen Blake
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 Woodbine Ave, Northport, NY, 11731-4835
Phone Number
516-353-8891
Fax Number
Provider Enumeration Date
01/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Woodbine Ave
City
Northport
State
New York
Zip
11768-2897
Phone Number
516-353-8891
Fax Number
person
Provider Business Mailing Address Details
Address
120 Woodbine Ave
City
Northport
State
New York
Zip
11768-2897
Phone Number
516-353-8891
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
012131 (New York)
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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