Blake A Sillence
Massage Therapist in Springfield, OR. Individual provider (NPI-1).
NPI number1295559631
StatusActive
Last updated in NPPESNov 12, 2024
Details
- NPI
- 1295559631
- Entity type
- Individual (NPI-1)
- Name
- Blake A Sillence
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2024
- Certification date
- Nov 12, 2024
- Last updated
- Nov 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 28378 | OR | Yes |
Practice location
384 Q StSpringfield, OR 97477-2140
Phone 541-852-8806
Mailing address
384 Q StSpringfield, OR 97477-2140
Phone 541-852-8806
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