Individual
MR. MICHAEL ALLEN BLAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2550 WINDY HILL RD SE, 215, MARIETTA, GA 30067-8665
(770) 850-8464
Mailing address
2550 WINDY HILL RD SE, 215, MARIETTA, GA 30067-8665
(770) 850-8464
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000455
GA
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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