Julie Ann Blevins

Individual provider Active NPI Massage Therapist · Lompoc, CA

NPI 1245535343 · NPPES record last updated May 3, 2011

Key facts

NPI
1245535343
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
7956 (CA)
Practice address
325 N Daisy Street
Lompoc, CA 93438-0167
Phone
(805) 264-0396
NPI assigned
Jan 20, 2011
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7956 CA Yes

Addresses

Primary practice location

325 N Daisy Street
Lompoc, CA 93438-0167

Mailing address

PO Box 167
Lompoc, CA 93438-0167
Phone (805) 264-0396

Other providers in Lompoc, CA

All providers in Lompoc, CA · Massage Therapist in California

Sources for this page

Verify at the official NPI Registry.