Amanda K Blankenship, LMP, NCTMB Valid NPI
Individual provider · Massage Therapist · Moscow, ID
- NPI
- 1013120435
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- MA00017159 (WA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-05-08
- Last updated
- 2007-07-08
Practice location
700 S Main St, Gritman Medical Center
Moscow, ID 83843-3056
(208) 883-6544