Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARTIN J BLAZEKOVIC
ActiveMR. MARTIN J BLAZEKOVIC is a Physical Therapy Assistant healthcare provider located in MEDICAL LAKE, Washington. NPI 1073699070 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MEDICAL LAKE, WA
Registration Details
- NPI Number
- 1073699070
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2006 (19.603606826561 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT00005962 (WA)
Practice Information
- Address
-
800 WEST MAPLE STREETMEDICAL LAKE, WA, 990220800Browse WA providers · Browse ZIP 99022
- Phone
- 5092993121
- Fax
- 5092997015
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MEDICAL LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY AHERN | PT | 1932258829 |
| ROBERT CASTELLAW | — | 1265776652 |
| DYSTON R MADSEN | DPT | 1275086811 |
| DR. JAMES SCOTT BASHAM | PT, DPT | 1942886007 |
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.