Active NPI
Laura Ann Blandburg, LMT
- Massage Therapist
- Tucson, AZ
National Provider Identifier
1245096296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-19141
- Practice address
- 6053 E Grant Rd
Tucson, AZ 85712-2370 - Phone
- (520) 370-6069
- NPI assigned
- Feb 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-19141 | AZ | Primary |
Addresses
Primary practice location
6053 E Grant Rd
Tucson, AZ 85712-2370
Mailing address
2500 N Palo Santo Dr
Tucson, AZ 85745-1089
Phone (520) 850-9301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-19141 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1245096296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N PALO SANTO DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451089",
"telephone_number": "520-850-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6053 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122370",
"telephone_number": "520-370-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANDBURG",
"first_name": "LAURA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-19141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.