Individual
MRS. MONTERRICA E BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
313B BLUEBIRD DR, GOODLETTSVILLE, TN 37072-2303
(615) 448-6446
(615) 467-8825
Mailing address
313B BLUEBIRD DR, GOODLETTSVILLE, TN 37072-2303
(615) 448-6446
(615) 467-8825
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10714532
TN
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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