Individual
BRIAN BLACHLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6675 HOLMES RD, KANSAS CITY, MO 64131-1150
(816) 276-7539
Mailing address
13841 S MULLEN ST, OLATHE, KS 66062-4589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2004030574
MO
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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