Brandon Blacka, MHT
Brandon Blacka, MHT is a Massage Therapist in Spanish Fork, Utah. Licensed in Utah. Registered with an NPI since 2017.
- Licensed in
- UT
- In the registry since
- 2017
Practice location Address checks out
800 N 100 ESpanish Fork, UT 84660-5577
Phone: (801) 504-6125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 9353585-4701 (UT) |
|---|
Record details
| NPI number | 1992216105 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MHT |
| Sole proprietor | No |
| NPI enumerated | October 14, 2017 |
| Last updated in NPPES | October 14, 2017 |
| Mailing address | 800 N 100 E, Spanish Fork, UT 84660-5577 |
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