Provider Demographics
NPI:1477296333
Name:BLODGETT, JASMINE B (MS, ACSM CEP)
Entity Type:Individual
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First Name:JASMINE
Middle Name:B
Last Name:BLODGETT
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Gender:F
Credentials:MS, ACSM CEP
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Mailing Address - Street 1:280 COMMONWEALTH AVE APT 307
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-2462
Mailing Address - Country:US
Mailing Address - Phone:617-834-2992
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-834-2992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist