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Individual

AUDREY BLACKFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
13635 RUTLEDGE SPUR APT 4203, AUSTIN, TX 78717-0162
(512) 718-0648
Mailing address
13635 RUTLEDGE SPUR APT 4203, AUSTIN, TX 78717-0162
(512) 718-0648

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT143517
TX

Other

Enumeration date
05/22/2026
Last updated
05/22/2026
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