Individual
BRANDON BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
5605 100TH ST SW, STE. B, LAKEWOOD, WA 98499-2710
(253) 284-9800
(253) 284-9801
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60656978
WA
Other
Enumeration date
07/11/2016
Last updated
08/15/2016
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