Individual
BLYTHE ELLEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 995-7366
Mailing address
13213 W ROWEL RD, PEORIA, AZ 85383-5881
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-015183
AZ
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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