Individual
CLARISSE BLADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
313 BLUEBIRD DR STE B, GOODLETTSVILLE, TN 37072-2303
(615) 448-6446
Mailing address
313 BLUEBIRD DR STE B, GOODLETTSVILLE, TN 37072-2303
(615) 448-6446
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11825
TN
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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