Henderson, Blake Russell

Henderson, Blake Russell is an individual health care provider with primary practice located at 515 W 75Th St , Kansas City MO 64114-1512. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Henderson, Blake Russell can be contacted via phone (816) 745-6270.

Contact Information

Primary practice address
515 W 75Th St Kansas City MO 64114-1512
Phone: (816) 745-6270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X Missouri

Profile Details

NPI number 1295342848
LBN Legal business name Henderson, Blake Russell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2020
Last updated Sep 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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