Melanie Blackburn

NPI #1033986054 in Pocatello, Idaho

Provider Information

NPI Number: 1033986054
Entity Type: Individual
Name: Melanie Blackburn
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Dec 11, 2023
Last Updated: Dec 11, 2023

Practice Location

Address: 1800 FLANDRO DR
City: Pocatello
State: Idaho
ZIP Code: 83202-4912
Phone: (208) 233-2248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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