Individual
MR. ROBERT MCGOWIN BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NMT, LMT, NCTMB
Contact information
Practice address
643 FIRST STREET NORTH, ALABASTER, AL 35007
(205) 837-3461
Mailing address
P.O. BOX 353, HELENA, AL 35080
(205) 837-3461
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1787
AL
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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