Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WYATT BLUE, MS, LAT, ATC, CSCS
Active Sole ProprietorMR. WYATT BLUE, MS, LAT, ATC, CSCS is a Contractor healthcare provider located in CARDIFF BY THE SEA, California. NPI 1346583754 is currently active in the NPPES registry. Verify at CMS.
Contractor · CARDIFF BY THE SEA, CA
Registration Details
- NPI Number
- 1346583754
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2013 (13.36316915733 yrs)
- Last Updated
- Jan 16, 2014
- License
-
0506246 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1732 MACKINNON AVECARDIFF BY THE SEA, CA, 920071605Browse CA providers · Browse ZIP 92007
- Phone
- 6038126913
- Primary Specialty
-
Contractor
171W00000X
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.