person
Brandon Blacka, MHT
Massage Therapist in Spanish Fork, Utah
NPI 1992216105

Brandon Blacka is a Massage Therapist based in Spanish Fork, UT. Brandon Blacka practices in Spanish Fork, UT and has the professional credentials of MHT. The NPI Number for Brandon Blacka is 1992216105 and holds a License No. 9353585-4701 (Utah).

The current practice location address for Brandon Blacka is 800 N 100 E, Spanish Fork, UT and can be reached out via phone at 801-504-6125. You can also correspond with Brandon Blacka through the mailing address at 800 N 100 E, SPANISH FORK, UT - 84660-5577 (mailing address contact number: 801-504-6125).

Location: 800 N 100 E, Spanish Fork, UT, 84660-5577
person
Provider Profile Details
NPI Number
1992216105
Provider Name
Brandon Blacka
Credential
MHT
Provider Entity Type
Individual
Gender
Male
Address
800 N 100 E, Spanish Fork, UT, 84660-5577
Phone Number
801-504-6125
Fax Number
Provider Enumeration Date
10/14/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 N 100 E
City
State
Zip
84660-5577
Phone Number
801-504-6125
Fax Number
person
Provider Business Mailing Address Details
Address
800 N 100 E
City
State
Zip
84660-5577
Phone Number
801-504-6125
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
9353585-4701 (Utah)
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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