Samantha Grace Blomdahl

NPI #1356002398 in Selah, Washington

Provider Information

NPI Number: 1356002398
Entity Type: Individual
Name: Samantha Grace Blomdahl
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jan 3, 2022
Last Updated: Jan 3, 2022

Practice Location

Address: 406 S 1ST ST STE 2
City: Selah
State: Washington
ZIP Code: 98942-1934
Phone: (509) 697-9109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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