Individual
RYLEE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
492 S 2925 W, SYRACUSE, UT 84075-9606
(435) 201-4947
Mailing address
492 S 2925 W, SYRACUSE, UT 84075-9606
(435) 201-4947
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12035812-4701
UT
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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