IndividualActive
Melissa Blackburn, LMT
NPI 1174355143 · Massage Therapist · Blanco, TX
Provider details
- NPI number
- 1174355143
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT-100302 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
718 4th St
Blanco, TX 78606-5569
Phone: (830) 385-2194
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1362
Blanco, TX 78606-1362
Registry dates
- Enumerated
- 2024-08-17
- Last updated
- 2024-08-17
- Certified
- 2024-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.