Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235736505 Individual Practitioner Male Practitioner

Stephen Paul Blakley , CMT

Massage Therapist • Isleton, CA

Professional Overview & Biography Verified Profile Summary

Stephen Blakley, CMT is a registered healthcare professional specializing in Massage Therapist in Isleton, CA. Practice services are available at 711 W BRANNAN ISLAND RD SPC 21 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

711 W Brannan Island Rd Spc 21

Isleton, CA 956419761

Telephone 9166001430

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Isleton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Isleton, CA (5197 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-08
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License CA 17860

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2020

Registered at 711 W BRANNAN ISLAND RD SPC 21, ISLETON, CA 956419761 (Tel: 9166001430)

📍
Updated Business Mailing Address October 08, 2020

Registered at PO BOX 402, ISLETON, CA 956410402 (Tel: 9166001430)

👤
Provider Name / Credentials Updated October 08, 2020

Recorded as STEPHEN BLAKLEY, CMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2020

Massage Therapist (License #17860 in CA)

🟢
Initial NPI Registration & Enumeration October 08, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235736505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2020
Last Update: October 08, 2020
Sole Proprietor: Yes

Mailing Address

Po Box 402

Isleton, CA 956410402

Phone: 9166001430

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.