Individual
KATHY J BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1541 CENTENNIAL CT, CASPER, WY 82609-7304
(307) 235-3910
Mailing address
1541 CENTENNIAL CT, CASPER, WY 82609-7304
(307) 235-3910
(307) 266-2891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15216
MT
225100000X
Physical Therapist
Primary
496
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113093500
—
WY
Enumeration date
01/18/2007
Last updated
04/27/2021
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