Organization Name: | TRUE BLUE LLC |
NPI Number: | 1508211624 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERRY Y LEWIS BLUEFORD (MANAGER) |
Mailing Address: | 751 E 36th Ave Ste 115 Anchorage |
State: | AK US |
Postal Code: | 995034166 |
Phone Number: | 9073060333 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2016 |
NPI Last Update Date: | 04/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 1031388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |