MS. Michelle L Blake, LMT

NPI #1235125857 in Salem, Oregon

Provider Information

NPI Number: 1235125857
Entity Type: Individual
Name: MS. Michelle L Blake, LMT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 20, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 580 EWALD AVE SE
City: Salem
State: Oregon
ZIP Code: 97302-3811
Phone: (503) 391-1092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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