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

DR. KRISTEN BLAZEK, PT, DPT

Active Sole Proprietor

DR. KRISTEN BLAZEK, PT, DPT is a Physical Therapy Assistant healthcare provider located in WHITE ROCK, South Carolina. NPI 1316459886 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WHITE ROCK, SC

Registration Details

NPI Number
1316459886
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2017 (8.7687245783658 yrs)
Last Updated
Jan 26, 2021
License
8189 (SC)
Sole Proprietor
Yes

Practice Information

Address
2101 DUTCH FORK RD
WHITE ROCK, SC, 29177
Browse SC providers · Browse ZIP 29177
Phone
8037328790
Primary Specialty
Physical Therapy Assistant
225100000X
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.