Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578762803 Individual Practitioner Female Practitioner

Wanda Lynn Blake , RN LMT

Massage Therapist • Newberry, FL

Professional Overview & Biography Verified Profile Summary

Wanda Blake, RN LMT is a registered healthcare professional specializing in Massage Therapist in Newberry, FL. Practice services are available at 1411 SW 252ND TER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1411 Sw 252nd Ter

Newberry, FL 326694416

Telephone 3524729004

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Newberry, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Newberry, FL (7145 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

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License FL MA34000

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 July 17, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 17, 2007

Registered at 1411 SW 252ND TER, NEWBERRY, FL 326694416 (Tel: 3524729004)

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Updated Business Mailing Address July 17, 2007

Registered at 1411 SW 252ND TER, NEWBERRY, FL 326694416 (Tel: 3524729004)

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Provider Name / Credentials Updated July 17, 2007

Recorded as WANDA BLAKE, R.N. LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2007

Massage Therapist (License #MA34000 in FL)

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Initial NPI Registration & Enumeration July 17, 2007

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: 1578762803
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2007
Last Update: July 17, 2007
Sole Proprietor: Yes

Mailing Address

1411 Sw 252nd Ter

Newberry, FL 326694416

Phone: 3524729004

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.