| Brandon Blacka, MHT | |
|
800 N 100 E, Spanish Fork, UT 84660-5577 | |
| (801) 504-6125 | |
| Not Available |
| Full Name | Brandon Blacka |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 800 N 100 E, Spanish Fork, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992216105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 9353585-4701 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Blacka, MHT 800 N 100 E, Spanish Fork, UT 84660-5577 Ph: (801) 504-6125 | Brandon Blacka, MHT 800 N 100 E, Spanish Fork, UT 84660-5577 Ph: (801) 504-6125 |
Laura A Willey, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 63 E 800 N, Spanish Fork, UT 84660 Phone: 801-798-8750 | |
Amanda Gordon, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 63 E 800 N, Spanish Fork, UT 84660 Phone: 435-660-9623 | |
Mr. David R Baker, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 63 E 800 N, Spanish Fork, UT 84660 Phone: 801-798-8750 | |
Sherry Alvarado, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1247 Expressway Ln, Spanish Fork, UT 84660 Phone: 801-504-6125 | |
Mrs. Katrina Gubler Long, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 63 E 800 N, Spanish Fork, UT 84660 Phone: 801-798-8750 | |
Angelica R Resendiz-vazquez, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 63 E 800 N, Spanish Fork, UT 84660 Phone: 801-798-8750 | |
Ms. Chrystal Hayes, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 63 E 800 N, Spanish Fork, UT 84660 Phone: 435-660-9623 |