NPI 1841720562

D. Blake Moran, BCTMB

Practitioner Massage Therapist Manchester Center, VT

Practice location

Address: 7205 Main St, Manchester Center, VT 05255-9312
Phone: (802) 558-8830
Mailing address: PO Box 1281, Manchester Center, VT 05255-1281

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Registry record

NPI: 1841720562
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2017
Record last updated: 14 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.