Individual
MRS. KAY ELLEN BLACHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT CHT
Contact information
Practice address
5825 SHOREVIEW LN N, KEIZER, OR 97303
(503) 540-6471
(503) 540-6404
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
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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