Individual
MR. KYLE JORDAN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
23 FITNESS LN, BERKELEY SPRINGS, WV 25411-7080
(304) 258-1300
(304) 258-1400
Mailing address
23 FITNESS LN, BERKELEY SPRINGS, WV 25411-7080
(304) 258-1300
(304) 258-1400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002973
WV
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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