Individual
MR. BENJAMIN J BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1120 E LONG LAKE RD, TROY, MI 48085-4974
(855) 629-2805
Mailing address
1120 E LONG LAKE RD, TROY, MI 48085-4974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501009175
MI
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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