Blair, Kathy J

Blair, Kathy J is an individual health care provider with primary practice located at 1541 Centennial Ct , Casper WY 82609-7304. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Blair, Kathy J can be contacted via phone (307) 235-3910.

Contact Information

Primary practice address
1541 Centennial Ct Casper WY 82609-7304
Fax:
Website:

Profile Details

NPI number 1649323460
LBN Legal business name Blair, Kathy J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Apr 27th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649323460 NPPES
Wyoming MEDICAID 113093500

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