MEDICARE: NATALIE LYNN BLASHILL LMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA00014324	WA

General Provider Information

NPI Number	:	1538214994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE LYNN BLASHILL LMP

Provider Business Mailing Address
First Line	:	1804 N WASHINGTON ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-4757
Country	:	US
Telephone Number	:	509-475-7192
Fax Number	:

Provider Business Practice Location Address
First Line	:	1804 N WASHINGTON ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-4757
Country	:	US
Telephone Number	:	509-475-7192
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	02/11/2014

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