Individual
TAMARA LEIGH BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2427 PEBBLESTONE CT, GASTONIA, NC 28054-2728
(304) 875-2333
Mailing address
2427 PEBBLESTONE CT, GASTONIA, NC 28054-2728
(304) 875-2333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2187
NC
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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