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Blake Broeker, LMT
Massage Therapist in Fishers, Indiana
NPI 1942934674

Blake Broeker is a Massage Therapist based in Fishers, IN. Blake Broeker practices in Fishers, IN and has the professional credentials of LMT. The NPI Number for Blake Broeker is 1942934674 and holds a License No. MT22207690 (Indiana).

The current practice location address for Blake Broeker is 8594 E 116Th St Apt 250, Fishers, IN and can be reached out via phone at 812-631-0547.

Location: 8594 E 116Th St Apt 250, Fishers, IN, 46038-1581
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942934674
Provider Name
Blake Broeker
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
8594 E 116Th St Apt 250, Fishers, IN, 46038-1581
Phone Number
812-631-0547
Fax Number
Provider Enumeration Date
07/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8594 E 116Th St Apt 250
City
Fishers
State
Indiana
Zip
46038-1581
Phone Number
812-631-0547
Fax Number
person
Provider Business Mailing Address Details
Address
8594 E 116Th St Apt 250
City
Fishers
State
Indiana
Zip
46038-1581
Phone Number
812-631-0547
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT22207690 (Indiana)
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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