Blake Thedinga, DPT

NPI #1861772998 in Port Hadlock, Washington

Provider Information

NPI Number: 1861772998
Entity Type: Individual
Name: Blake Thedinga, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 20, 2011
Last Updated: Feb 10, 2015

Practice Location

Address: 27 COLWELL ST
City: Port Hadlock
State: Washington
ZIP Code: 98339-0897
Phone: (360) 385-9310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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