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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL DAVID BLACKLEDGE, DPT

Active Sole Proprietor

MR. MICHAEL DAVID BLACKLEDGE, DPT is a Physical Therapy Assistant healthcare provider located in BURIEN, Washington. NPI 1053856070 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BURIEN, WA

Registration Details

NPI Number
1053856070
Provider Type
Individual
Gender
Male
NPI Issued
Dec 29, 2016 (9.6133365306781 yrs)
Last Updated
May 4, 2019
License
PT291773 (CA)
Sole Proprietor
Yes

Practice Information

Address
15811 AMBAUM BLVD SW STE 140
BURIEN, WA, 98166
Browse WA providers · Browse ZIP 98166
Phone
2063279880
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BURIEN, WA

Name Credential NPI
MR. DANIEL KAM PT 1639168347
MR. PIERRE-YVES FREDERIC BUTHEAU M.S.P.T. 1033100441
ANDELEE BAKER PT 1871537811
MR. CRAIG JEROME KOPET PT 1073620910
MS. MELISSA THIRY PT 1376653766
ASHLEY CLIPPARD PT 1851491955
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.