IndividualActive
Stephen Blakley, CMT
NPI 1235736505 · Massage Therapist · Isleton, CA
Provider details
- NPI number
- 1235736505
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 17860 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
711 W Brannan Island Rd Spc 21
Isleton, CA 95641-9761
Phone: (916) 600-1430
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 402
Isleton, CA 95641-0402
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 2020-10-08
- Certified
- 2020-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.