Blackburn Clinic, Inc. Ps
NPI #1083899066 in Kent, Washington
Provider Information
- NPI Number
- 1083899066
- Entity Type
- Organization
- Organization Name
- Blackburn Clinic, Inc. Ps
- Primary Specialty
- Chiropractor - Sports Physician
- Enumeration Date
- Jan 8, 2008
- Last Updated
- Jan 8, 2008
Practice Location
- Address
- 11107 SE KENT KANGLEY RD
- City
- Kent
- State
- Washington
- ZIP Code
- 98030-7707
- Phone
- (253) 854-8880
Authorized Official
- Name
- DR. GARY PATRICK BLACKBURN, D.C, CCSP
- Title
- OWNER
- Phone
- (253) 854-8880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Sports Physician — Sports Physician |
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