Individual
DR. BLAKE KILVINGTON STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4030 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036
(425) 776-0803
(425) 776-0813
Mailing address
4030 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036
(425) 776-0803
(425) 776-0813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60401636
WA
Other
Enumeration date
08/07/2013
Last updated
02/10/2015
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