Individual
D. BLAKE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCTMB
Contact information
Practice address
7205 MAIN ST, MANCHESTER CENTER, VT 05255-9312
(802) 558-8830
Mailing address
PO BOX 1281, MANCHESTER CENTER, VT 05255-1281
(802) 558-8830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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