Individual
MOLLY BLACKSHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ELIZABETH PL # 280, DAYTON, OH 45417-3445
(937) 952-6567
Mailing address
1 ELIZABETH PL # 280, DAYTON, OH 45417-3445
(937) 952-6567
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020571
STATE MEDICAL BOARD OF OHIO
—
Enumeration date
03/21/2018
Last updated
03/21/2018
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