| NPI | 1104564046 |
|---|---|
| Professional Name | BLENDID BODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL7460) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA77679) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2025-06-20 |