Individual
DR. BLAKE HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
404 BRIDLE WAY, YAKIMA, WA 98901-9785
(253) 304-6007
Mailing address
404 BRIDLE WAY, YAKIMA, WA 98901-9785
(253) 304-6007
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60924697
WA
Other
Enumeration date
03/30/2019
Last updated
03/30/2019
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