IndividualActive
Blake Broeker, LMT
NPI 1942934674 · Massage Therapist · Fishers, IN
Provider details
- NPI number
- 1942934674
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- MT22207690 (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8594 E 116th St Apt 250
Fishers, IN 46038-1581
Phone: (812) 631-0547
Approximate (ZIP-level) locationGet directions
Mailing address
8594 E 116th St Apt 250
Fishers, IN 46038-1581
Registry dates
- Enumerated
- 2022-07-09
- Last updated
- 2022-07-09
- Certified
- 2022-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.