Dustin Blackwell, LMT
NPI #1225752744 in Winlock, Washington
Provider Information
- NPI Number
- 1225752744
- Entity Type
- Individual
- Name
- Dustin Blackwell, LMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Sep 28, 2022
- Last Updated
- Jan 11, 2023
Practice Location
- Address
- 308 NE FIRST ST.
- City
- Winlock
- State
- Washington
- ZIP Code
- 98596
- Phone
- (360) 762-8501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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