Heber James Blackner, LMT

NPI #1750726840 in American Fork, Utah

Provider Information

NPI Number: 1750726840
Entity Type: Individual
Name: Heber James Blackner, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 3, 2013
Last Updated: May 3, 2013

Practice Location

Address: 551 E STATE RD
Address 2: STE#103B
City: American Fork
State: Utah
ZIP Code: 84003-2191
Phone: (801) 623-9914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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