MRS. Jessyca Blackburn, L.M.T.

NPI #1679025845 in Eagle River, Alaska

Provider Information

NPI Number: 1679025845
Entity Type: Individual
Name: MRS. Jessyca Blackburn, L.M.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Nov 3, 2016
Last Updated: Nov 3, 2016

Practice Location

Address: 11723 OLD GLENN HWY
Address 2: STE 101
City: Eagle River
State: Alaska
ZIP Code: 99577-7748
Phone: (907) 696-4878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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