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

Mr. Absalom Blackmon, RKT, LMT, MMP, CPS

Individual provider Massage Therapist · NPI 1407474919

Mr. Absalom Blackmon, RKT, LMT, MMP, CPS is a Massage Therapist in Tampa, Florida. Licensed in Florida and Illinois. Registered with an NPI since 2020.

Licensed in
FL, IL
In the registry since
2020
Specialties on file
4
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

4822 River Vista Ln Apt B
Tampa, FL 33617-7589
Phone: (601) 874-8542
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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 MA100038 (FL)
Massage Therapist Taxonomy 225700000X · Licence 227022111 (IL)
Kinesiotherapist Taxonomy 226300000X · Licence 2055 (IL)
Kinesiotherapist Taxonomy 226300000X · Licence 2055 (FL)

Record details

NPI number1407474919
Entity typeIndividual (Type 1)
GenderMale
Credentials RKT , LMT , MMP , CPS
Sole proprietorNo
NPI enumeratedJuly 10, 2020
Last updated in NPPESMay 15, 2023
Certification dateApril 26, 2021

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