NPI 1467288472 · live from the CMS NPI Registry
Robin Vanessa Blaisdell
Massage Therapist in Hernando, MS. National Provider Identifier 1467288472, active.
NPI record
| NPI | 1467288472 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 214 W Center St, Hernando, MS 38632 |
| Practice phone | 662-782-6770 |
| Mailing address | 6695 White Hawk Ln, Olive Branch, MS 38654 |
| Enumerated | September 9, 2024 |
| Last updated | September 9, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 969 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.