Blackwell, Dustin

Blackwell, Dustin is an individual health care provider with primary practice located at 308 Ne First St. , Winlock WA 98596. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Blackwell, Dustin can be contacted via phone (360) 762-8501.

Contact Information

Primary practice address
308 Ne First St. Winlock WA 98596
Phone: (360) 762-8501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 61345360 Washington

Profile Details

NPI number 1225752744
LBN Legal business name Blackwell, Dustin
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2022
Last updated Jan 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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