Blakney, Mitchell Guy

Blakney, Mitchell Guy is an individual health care provider with primary practice located at 4700 Point Fosdick Dr Nw Suite 213, Gig Harbor WA 98335-1706. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Blakney, Mitchell Guy can be contacted via phone (253) 851-5718.

Contact Information

Primary practice address
4700 Point Fosdick Dr Nw Suite 213 Gig Harbor WA 98335-1706
Phone: (253) 851-5718
Fax: (253) 853-6922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00002125 Washington

Profile Details

NPI number 1104852227
LBN Legal business name Blakney, Mitchell Guy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104852227 NPPES
Washington MEDICAID 8336992

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