Individual
MRS. TRACEY JOANNE BLUHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1700 HUDSON ST, LONGVIEW, WA 98632-2930
(360) 504-0122
(360) 859-1354
Mailing address
340 TWIN PEAK DR, CASTLE ROCK, WA 98611-8065
(360) 751-2935
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7479
OR
Other
Enumeration date
06/19/2008
Last updated
11/19/2023
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