Individual
W. SCOTT BLACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 N REHOBOTH BLVD, MILFORD, DE 19963-1303
(302) 236-0063
Mailing address
PO BOX 272195, FORT COLLINS, CO 80527-2195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0003944
DE
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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