Individual
GINA RENAE BLAHNIK-ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
710 N BEAVER ST BLDG 3, FLAGSTAFF, AZ 86001-3147
(928) 226-1556
Mailing address
11545 CEPHEUS RD, BELLEMONT, AZ 86015-1016
(406) 241-3616
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-30035
AZ
Other
Enumeration date
08/12/2024
Last updated
02/25/2025
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