Individual
MS. CHERYL BLOXAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
320 CENTER AVENUE, SUITE E, NORTHPORT, WA 99157-0483
(206) 512-4165
Mailing address
PO BOX 932, NORTHPORT, WA 99157-0932
(206) 512-4165
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA12423
WA
Other
Enumeration date
02/08/2007
Last updated
05/07/2021
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