Individual
MS. BRITTIANY BLECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6580 JUDSON RD, LONGVIEW, TX 75605-7076
(903) 475-3939
Mailing address
3368 TRYON RD, LONGVIEW, TX 75605-8305
(903) 475-3939
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT138487
TX
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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