Organization
BLANCHARD MOUNTAIN PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON RICHARD SMITH DPT (PHYSICAL THERAPIST/PART OWNER)
(360) 840-2387
Entity
Organization
Contact information
Practice address
2226 MARKET ST STE C, MOUNT VERNON, WA 98273-5451
(360) 840-2472
Mailing address
PO BOX 171, MOUNT VERNON, WA 98273-0171
(360) 840-2472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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