Organization
FIERCELY REDEFINED DANCE TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARKESHA BLACKMAN (OWNER)
(513) 885-6065
Entity
Organization
Contact information
Practice address
9535 PIPPIN RD, CINCINNATI, OH 45231-2221
(513) 407-8005
Mailing address
8304 SEA MIST CT, WEST CHESTER, OH 45069-9252
(513) 885-6065
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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