BRIAN LEE BLANCK - NPI 1114278314 - Massage Therapist in Boulder, CO

Q: What is Brian Blanck's NPI number?

The NPI number for Brian Blanck is 1114278314. It was assigned to this individual provider in the NPPES registry on September 27, 2012.

Q: What is Brian Blanck's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Blanck was last updated on September 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brian Lee Blanck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN LEE BLANCK (NPI 1114278314) is an individual massage therapist in Boulder, Colorado, licensed in Colorado (0005970) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1114278314

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameBRIAN LEE BLANCK

Location Address1800 30TH ST, STE 215Boulder, CO 80301-1088

Mailing Address1800 30th St, Ste 215Boulder, CO 80301-1088 · (303) 444-1171

Phone(303) 444-1171

Sole ProprietorYes

Enumeration DateSeptember 27, 2012

✔ NPI 1114278314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in CO · 0005970

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

1800 30TH ST, Boulder, CO 80301

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