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BLAKE BROEKER LMT
NPI 1942934674
Massage Therapist in Fishers, IN

Active since July 09, 2022
8594 E 116TH ST APT 250, FISHERS, IN 46038(812) 631-0547 Get Directions Write a Review

NPPES record last updated: July 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blake Broeker Lmt NPPES

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

BLAKE BROEKER LMT (NPI 1942934674) is an individual massage therapist in Fishers, Indiana, licensed in Indiana (MT22207690) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1942934674
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameBLAKE BROEKERCredential: LMT
Location Address8594 E 116TH ST APT 250Fishers, IN 46038-1581
Mailing Address8594 E 116th St Apt 250Fishers, IN 46038-1581 · (812) 631-0547
Phone(812) 631-0547
Sole ProprietorYes
Enumeration DateJuly 9, 2022
NPPES CertifiedJuly 9, 2022
✔ NPI 1942934674 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 IN · MT22207690
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.
8594 E 116TH ST APT 250, Fishers, IN 46038
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Blake Broeker's NPI number?

The NPI number for Blake Broeker is 1942934674. It was assigned to this individual provider in the NPPES registry on July 9, 2022.

Where is Blake Broeker located?

Blake Broeker practices at 8594 E 116th St Apt 250, Fishers, IN 46038. The listed phone number is (812) 631-0547.

What is Blake Broeker'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 Blake Broeker was last updated on July 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.