Individual
ERNESTINE TINA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
500 VILLAGE ROAD, BRECKENRIDGE, CO 80424
(303) 505-7763
Mailing address
PO BOX 460301, AURORA, CO 80046-0301
(303) 505-7763
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0025655
CO
Other
Enumeration date
02/27/2025
Last updated
03/11/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us