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Individual

ZACHARY ALAN BLAYDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3401 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-2513
(859) 263-5140
(859) 263-5141
Mailing address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009165
KY
2251S0007X
Sports Physical Therapist
2023032337
MO

Other

Enumeration date
06/17/2024
Last updated
08/14/2024
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