STEPHANIE AMANDA BLAISDELL NCLMT NPI 1336575455

NPI Information

NPI: 1336575455
Provider Name: STEPHANIE AMANDA BLAISDELL, NCLMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
63 KNOTTY PINE LN
CENTERVILLE, MA
ZIP 02632
Phone: (508) 776-2114
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Stephanie Amanda Blaisdell, NCLMT is a massage therapist in Centerville, MA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Stephanie Amanda Blaisdell, NCLMT NPI is 1336575455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

63 KNOTTY PINE LN
CENTERVILLE, MA
ZIP 02632-301
Phone: (508) 776-2114

The enumeration date for this NPI number is 9/20/2013 and was last updated on 9/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		2197	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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