Individual
MRS. KAY ELLEN BLACHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT CHT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2199
OR
2251H1200X
Hand Physical Therapist
1021100023
OR
Other
Enumeration date
06/03/2006
Last updated
04/25/2019
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