Individual
KELLY RENEE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 SLEEPY HOLLOW DR, UNIONTOWN, OH 44685-9609
(330) 328-6774
Mailing address
611 SLEEPY HOLLOW DR, UNIONTOWN, OH 44685-9609
(330) 328-6774
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8562
OH
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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