NPI 1922596378 · live from the CMS NPI Registry
Clarisa Renee Blackwell, LMBT, MMP
Massage Therapist in Wilson, NC. National Provider Identifier 1922596378, active.
NPI record
| NPI | 1922596378 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2223 Nash St Nw, Wilson, NC 27896 |
| Practice phone | 919-827-7461 |
| Enumerated | May 1, 2018 |
| Last updated | May 1, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 12977 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.