Stephanie Amanda Blaisdell, NCLMT

NPI #1336575455 in Centerville, Massachusetts

Provider Information

NPI Number: 1336575455
Entity Type: Individual
Name: Stephanie Amanda Blaisdell, NCLMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: NCLMT
Enumeration Date: Sep 20, 2013
Last Updated: Sep 20, 2013

Practice Location

Address: 63 KNOTTY PINE LN
City: Centerville
State: Massachusetts
ZIP Code: 02632-2301
Phone: (508) 776-2114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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