WANDA LYNN BLAKE R.N. LMT
NPI 1578762803
Massage Therapist in Newberry, FL

Q: What is Wanda Blake's NPI number?

The NPI number for Wanda Blake is 1578762803. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Q: What is Wanda Blake'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 Wanda Blake was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2007

1411 SW 252ND TER, NEWBERRY, FL 32669(352) 472-9004 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wanda Lynn Blake R.n. Lmt NPPES

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

WANDA LYNN BLAKE R.N. LMT (NPI 1578762803) is an individual massage therapist in Newberry, Florida, licensed in Florida (MA34000) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1578762803

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameWANDA LYNN BLAKECredential: R.N. LMT

Location Address1411 SW 252ND TERNewberry, FL 32669-4416

Mailing Address1411 Sw 252nd TerNewberry, FL 32669-4416 · (352) 472-9004

Phone(352) 472-9004

Sole ProprietorYes

Enumeration DateJuly 17, 2007

✔ NPI 1578762803 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 FL · MA34000

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.

1411 SW 252ND TER, Newberry, FL 32669

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Blake's NPI number?

The NPI number for Wanda Blake is 1578762803. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Wanda Blake located?

Wanda Blake practices at 1411 SW 252nd Ter, Newberry, FL 32669. The listed phone number is (352) 472-9004.

What is Wanda Blake's specialty?

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

When was this NPI record last updated?

The NPPES record for Wanda Blake was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.