Individual
TYECHIA BLAKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1356 1/2 S. MAIN ST., HARRISONBURG, VA 22801
(540) 383-9448
Mailing address
PO BOX 222, BRIDGEWATER, VIRGINIA 22812
(540) 383-9448
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019005300
VA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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