Individual
MOLLY BLASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6893 BAY RIDGE RD, KALAMAZOO, MI 49009-8982
(296) 330-7576
Mailing address
6893 BAY RIDGE RD, KALAMAZOO, MI 49009-8982
(296) 330-7576
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008434
MI
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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