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William Kelly Blackburn, MASSAGETHERAPY
Massage Therapist in Kent, Washington
NPI 1033683529

William Kelly Blackburn is a Massage Therapist based in Issaquah, WA. William Kelly Blackburn practices in Kent, WA and has the professional credentials of MASSAGETHERAPY. The NPI Number for William Kelly Blackburn is 1033683529 and holds a License No. MA60751082 (Washington).

The current practice location address for William Kelly Blackburn is 24620 Russell Rd Apt D102, Kent, WA and can be reached out via phone at 941-276-5651.

Location: 24620 Russell Rd Apt D102, Kent, WA, 98027-2454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033683529
Provider Name
William Kelly Blackburn
Credential
MASSAGETHERAPY
Provider Entity Type
Individual
Gender
Male
Address
24620 Russell Rd Apt D102, Kent, WA, 98027-2454
Phone Number
941-276-5651
Fax Number
Provider Enumeration Date
01/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24620 Russell Rd Apt D102
City
Kent
State
Washington
Zip
98032-4745
Phone Number
941-276-5651
Fax Number
person
Provider Business Mailing Address Details
Address
24620 Russell Rd Apt D102
City
Kent
State
Washington
Zip
98032-4745
Phone Number
941-276-5651
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60751082 (Washington)
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.
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