Blankenship, Michael Ray

Blankenship, Michael Ray is an sole proprietor health care provider with primary practice located at 8701 S Hardy Dr , Tempe AZ 85284-2800. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Blankenship, Michael Ray can be contacted via phone (160) 237-9171.

Contact Information

Primary practice address
8701 S Hardy Dr Tempe AZ 85284-2800
Phone: (160) 237-9171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 10754 Arizona

Profile Details

NPI number 1275957540
LBN Legal business name Blankenship, Michael Ray
Credentials PT, DPT, MS, ATC/LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2014
Last updated Feb 7th, 2014 - about 11 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 1275957540 NPPES
Arizona Other T64322062 PHYSICAL THERAPY, ATHLETIC TRAINER

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