Individual
ANN GERALYN BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7045 W CALAHAN AVE, UNIT A, LAKEWOOD, CO 80232-2117
(720) 903-5318
Mailing address
7045 W CALAHAN AVE, UNIT A, LAKEWOOD, CO 80232-2117
(720) 903-5318
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10240
CO
Other
Enumeration date
09/26/2011
Last updated
11/11/2014
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