Individual
DUSTIN BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-3600
(206) 744-5000
Mailing address
3800 MONTLAKE BLVD, SEATTLE, WA 98195-0007
(206) 520-5000
(206) 598-3140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60475433
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0336645
L & I
WA
01
—
0336746
L & I
WA
Enumeration date
02/10/2015
Last updated
07/28/2023
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