Individual
BLAKE MUNDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1935 21ST AVE S STE 310D, NASHVILLE, TN 37212-4079
(719) 940-0274
Mailing address
1935 21ST AVE S STE 310D, NASHVILLE, TN 37212-4079
(719) 940-0274
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10161
TN
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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