Blake Ashley Middleton, LMT, CA

NPI #1407570708 in Gladstone, Oregon

Provider Information

NPI Number
1407570708
Entity Type
Individual
Name
Blake Ashley Middleton, LMT, CA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT, CA
Enumeration Date
Sep 29, 2022
Last Updated
Sep 29, 2022

Practice Location

Address
375 W GLOUCESTER ST
State
Oregon
ZIP Code
97027-2036
Phone
(360) 270-5890

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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