Individual
CHERYL BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 S PARKWAY AVE, BATTLE GROUND, WA 98604-9294
(360) 687-1781
Mailing address
113 S PARKWAY AVE, BATTLE GROUND, WA 98604-9294
(360) 687-1781
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61094775
WA
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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