Individual
CARMEN BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15328 MAIN ST E, SUMNER, WA 98390-2640
(253) 863-0404
(253) 863-5834
Mailing address
15328 MAIN ST E, SUMNER, WA 98390-2640
(253) 863-0404
(253) 863-5834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2607
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51171
LABOR & INDUSTRIES
WA
05
—
8346421
—
WA
Enumeration date
09/13/2006
Last updated
07/09/2007
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