Individual
MR. KARSTEN J BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3719 88TH ST NE, SUITE A, MARYSVILLE, WA 98270-7228
(360) 659-9621
(360) 659-9621
Mailing address
3719 88TH ST NE, SUITE A, MARYSVILLE, WA 98270-7228
(360) 659-9621
(360) 659-9621
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006090
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8332629
—
WA
Enumeration date
02/09/2007
Last updated
07/08/2007
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