Individual
TERA C BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
225 RIVERSIDE AVE, ADRIAN, MI 49221-1539
(517) 264-1699
Mailing address
116 MARCUS ST, WALDRON, MI 49288-9701
(517) 262-5581
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011281
MI
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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