Individual
HEBER JAMES BLACKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
551 E STATE RD, STE#103B, AMERICAN FORK, UT 84003-2191
(801) 623-9914
(866) 227-7789
Mailing address
551 E STATE RD, STE#103B, AMERICAN FORK, UT 84003-2191
(801) 623-9914
(866) 227-7789
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
338981-4701
UT
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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