Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clarisa Renee Blackwell, LMBT, MMP

Individual provider Massage Therapist · NPI 1922596378

Clarisa Renee Blackwell, LMBT, MMP is a Massage Therapist in Wilson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018

Practice location Address checks out

2223 Nash St NW
Wilson, NC 27896-1735
Phone: (919) 827-7461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 12977 (NC)

Record details

NPI number1922596378
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMBT , MMP
Sole proprietorNo
NPI enumeratedMay 1, 2018
Last updated in NPPESMay 1, 2018

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