Individual
BRYCE ALLEN BLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
400 SEQUOIA DR STE 120, BELLINGHAM, WA 98226-7634
(360) 752-1511
Mailing address
8862 BENDER RD STE 101, LYNDEN, WA 98264-8800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60768573
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT60768573
WASHINGTON DEPARTMENT OF HEALTH PROVIDER NUMBER
WA
Enumeration date
06/29/2017
Last updated
09/15/2020
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