Individual
ANGELA BLACKINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8363 E FLORENTINE RD STE C, PRESCOTT VALLEY, AZ 86314-4972
(928) 233-0025
Mailing address
3041 N CONSTANCE DR APT A, PRESCOTT VALLEY, AZ 86314-8912
(928) 233-0025
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-25646
AZ
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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