BRANDON BLACKA, MHT
Massage Therapist
Active
Individual
NPI: 1992216105
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 9353585-4701 (UT) |
Frequently Asked Questions
NPI 1992216105 is the National Provider Identifier for BRANDON BLACKA, MHT, a Massage Therapist provider located in Spanish Fork, UT. This NPI was enumerated on October 14, 2017.
BRANDON BLACKA, MHT practices at 800 N 100 E, Spanish Fork, UT 84660.
Quick Facts
- NPI
- 1992216105
- Type
- Individual
- Enumerated
- Oct 14, 2017
- Last Updated
- Oct 14, 2017
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