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Dustin Blackwell, LMT
Massage Therapist in Winlock, Washington
NPI 1225752744

Dustin Blackwell is a Massage Therapist based in Winlock, WA. Dustin Blackwell practices in Winlock, WA and has the professional credentials of LMT. The NPI Number for Dustin Blackwell is 1225752744 and holds a License No. 61345360 (Washington).

The current practice location address for Dustin Blackwell is 308 Ne First St., Winlock, WA and can be reached out via phone at 360-762-8501.

Location: 308 Ne First St., Winlock, WA, 98596-9725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225752744
Provider Name
Dustin Blackwell
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
308 Ne First St., Winlock, WA, 98596-9725
Phone Number
360-762-8501
Fax Number
Provider Enumeration Date
09/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
308 Ne First St.
City
Winlock
State
Washington
Zip
98596
Phone Number
360-762-8501
Fax Number
person
Provider Business Mailing Address Details
Address
308 Ne First St.
City
Winlock
State
Washington
Zip
98596
Phone Number
360-762-8501
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
61345360 (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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