D. BLAKE MORAN BCTMB NPI 1841720562

NPI Information

NPI: 1841720562
Provider Name: D. BLAKE MORAN, BCTMB
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
7205 MAIN ST
MANCHESTER CENTER, VT
ZIP 05255
Phone: (802) 558-8830
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D. Blake Moran, BCTMB is a massage therapist in Manchester Center, VT. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. D. Blake Moran, BCTMB NPI is 1841720562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7205 MAIN ST
MANCHESTER CENTER, VT
ZIP 05255-312
Phone: (802) 558-8830

The enumeration date for this NPI number is 6/14/2017 and was last updated on 6/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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