MEDICARE: SENGA F BLAIR

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	MA107774	FL

General Provider Information

NPI Number	:	1780548594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SENGA F BLAIR

Provider Business Mailing Address
First Line	:	3702 ROCKWOOD DR
Second Line	:
City	:	MILTON
State	:	FL
Zip	:	32571-1867
Country	:	US
Telephone Number	:	850-530-8082
Fax Number	:	448-216-2818

Provider Business Practice Location Address
First Line	:	5599 STEWART ST
Second Line	:
City	:	MILTON
State	:	FL
Zip	:	32570-4344
Country	:	US
Telephone Number	:	850-530-8082
Fax Number	:	448-216-2818

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ SENGA F BLAIR ” Practice Location

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