Blanca Claypool, LMT
Individual provider Active NPI Massage Therapist · Kodiak, AK
NPI 1306124235 · NPPES record last updated Oct 9, 2012
Key facts
- NPI
- 1306124235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 17762 (OR)
- Practice address
- 2027 Hilary Lane
Kodiak, AK 99615-6377 - Phone
- (541) 231-1530
- NPI assigned
- Jul 26, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17762 | OR | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 17762 | OR | Yes |
Addresses
Primary practice location
2027 Hilary Lane
Kodiak, AK 99615-6377
Mailing address
PO Box 2857
Kodiak, AK 99615-2857
Phone (541) 231-1530
Other providers in Kodiak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2012. 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.