Summer Blake, LMT

NPI #1275302119 in Bonney Lake, Washington

Provider Information

NPI Number: 1275302119
Entity Type: Individual
Name: Summer Blake, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 20, 2023
Last Updated: Dec 20, 2023

Practice Location

Address: 20119 S PRAIRIE RD E
City: Bonney Lake
State: Washington
ZIP Code: 98391-7935
Phone: (253) 862-1555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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