Audrey Blanchard, LMT
Individual provider Active NPI Massage Therapist · Watkinsville, GA
NPI 1184021628 · NPPES record last updated Apr 26, 2025
Key facts
- NPI
- 1184021628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT014599 (GA)
- Practice address
- 1431 Capital Ave Ste 121
Watkinsville, GA 30677-1883 - Phone
- (706) 410-4437
- NPI assigned
- Nov 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT014599 | GA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT014599 | GA | Yes |
Addresses
Primary practice location
1431 Capital Ave Ste 121
Watkinsville, GA 30677-1883
Mailing address
1431 Capital Ave Ste 121
Watkinsville, GA 30677-1883
Other providers in Watkinsville, GA
- Kathryn Guy Birch
- Ryan Bishop
- Katherine Anne Blackmon
- Andrew James Blackowiak
- Holly Cheyenne Blalock
- Joseph Blaney
- Ashley Keith Blanton
- Ivette Lopez Bledsoe
- Jasen Lee Blehm
- Blu Iris Counseling
All providers in Watkinsville, GA · Massage Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.