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

Tomsene Johnetta Blake

Individual provider Massage Therapist · NPI 1609480342

Tomsene Johnetta Blake is a Massage Therapist in Bowie, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2020
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Practice location Address checks out

12115 Sutton Ln
Bowie, MD 20720-3562
Phone: (202) 528-3067
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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 M01119 (MD)

Record details

NPI number1609480342
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 1, 2020
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020
Mailing addressPo Box 7465, Largo, MD 20792-7465

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