IndividualActive
Blake Middleton, LMT, CA
NPI 1407570708 · Massage Therapist · Gladstone, OR
Provider details
- NPI number
- 1407570708
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT, CA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 26981 (OR)
Mailing address
375 W Gloucester St
Gladstone, OR 97027-2036
Registry dates
- Enumerated
- 2022-09-29
- Last updated
- 2022-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.