| Chad Alan Blomquist, LMT | |
|
6860 Saint Edmunds Loop, Fort Myers, FL 33966-7503 | |
| (309) 948-3213 | |
| Not Available |
| Full Name | Chad Alan Blomquist |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 6860 Saint Edmunds Loop, Fort Myers, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750602090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 005795 (Iowa) | Secondary |
| 225700000X | Massage Therapist | 227.010795 (Illinois) | Secondary |
| 225700000X | Massage Therapist | MA102775 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Alan Blomquist, LMT 1114 17th Ave, Moline, IL 61265-3868 Ph: () - | Chad Alan Blomquist, LMT 6860 Saint Edmunds Loop, Fort Myers, FL 33966-7503 Ph: (309) 948-3213 |
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