Blake Russell Henderson
Blake Russell Henderson is a Massage Therapist in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2020.
- Licensed in
- MO
- In the registry since
- 2020
Practice location Address checks out
515 W 75th StKansas City, MO 64114-1512
Phone: (816) 745-6270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X (MO) |
|---|
Record details
| NPI number | 1295342848 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 28, 2020 |
| Last updated in NPPES | September 28, 2020 |
| Certification date | September 28, 2020 |
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