WILLIAM KELLY BLACKBURN


Address: 24620 Russell Rd Apt D102, Kent, WA 98032-4745
Phone: 9412765651

WILLIAM KELLY BLACKBURN (NPI# 1033683529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033683529
Entity Type Individual
Full Name WILLIAM KELLY BLACKBURN
Credential MASSAGE THERAPY
Practice Address 24620 Russell Rd Apt D102
Kent
WA 98032-4745
Mailing Address 680 Nw Gilman Blvd Ste A
Issaquah
WA 98027-2454
Practice Telephone 9412765651
Mailing Telephone 9412765651
Enumeration Date 2019-01-17
Last Update Date 2019-01-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA60751082 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers WILLIAM BLACKBURN

NPI Name Taxonomy Address Enumeration
1992795777 William Joseph Blackburn Physical Therapist 560 South Loop Rd., Edgewood, KY 41017 2005-10-24
1447805064 William Blackburn Speech-Language Pathologist 648 Crestwood Blvd, Covington, LA 70433-8261 2019-08-09
1982137394 William Ryan Blackburn Student in an Organized Health Care Education/Training Program 1000 Oakland Dr, Kalamazoo, MI 49008-1282 2017-04-04
1467719880 William Luke Blackburn Chiropractor 619 Sw 152nd St, Burien, WA 98166-2212 2012-04-23
1831166057 William P Blackburn Anesthesiology 201 Avalon Ave, Muscle Shoals, AL 35661-2805 2006-03-07
1124025101 William E Blackburn Urology 1760 Nicholasville Rd, Suite 301, Lexington, KY 40503-1471 2005-07-05

Office Location

Street Address 24620 RUSSELL RD APT D102
City KENT
State WA
Zip Code 98032-4745

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952866790 Cornerstone Ocd Anxiety Counselor 415 Railroad Ave S, Kent, WA 98032 2019-02-06
1861962458 Mohamed Osman Awad Counselor 124 4th Ave S Suite 230, Kent, WA 98032 2018-11-27
1649747387 Hannah Grace Rosborough Counselor 19435 68th Ave S Bldg S Ste 109, Kent, WA 98032 2018-10-31
1063948164 Teasya Kusumo Marriage & Family Therapist 232 2nd Avenue S., Suite 201, Kent, WA 98032 2017-05-10
1902331648 Heather Kunce Marriage & Family Therapist 232 Second Ave S, Ste 201, Kent, WA 98032 2017-05-01
1043761489 Julia Kocian Social Worker 1601 W Meeker St., #201, Sea Mar Kent Behavioral Health, Kent, WA 98032 2016-10-20
1760938518 Phoeun Sath Community Health Worker 24328 Pacific Hwy, Kent, WA 98032 2016-08-31
1891241568 Live Well Alliance, LLC Counselor 1103 W. Meeker Street #102, Kent, WA 98032 2016-08-31
1760938070 Seattle Cpap Durable Medical Equipment & Medical Supplies 25329 74th Ave S, Kent, WA 98032 2016-08-28
1750736401 William Dale Technician, Other 6302 S 238th Pl, Apt U205, Kent, WA 98032 2016-05-02
Find all providers in zip 98032

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609421635 Sabrina Michelle Jones Massage Therapist 25022 104th Ave Se Ste E, Kent, WA 98030-2822 2019-08-06
1124686621 Shannon Strong Massage Therapist 64 Maple St Ste 1, Kent, CT 06757-1721 2019-05-31
1184180135 Olesya Tkachyshyn Massage Therapist 11738 Se 264th St, Kent, WA 98030-8467 2019-02-14
1811460306 Alla Yakobchuk Massage Therapist 11108 Se 264th Pl, Kent, WA 98030-9032 2019-01-07
1821560798 Jeanmarie Meier Massage Therapist 12505 Se 275th Pl, Kent, WA 98030-8523 2018-12-17
1932681921 Johana Sanchez-vidales Massage Therapist 24837 104th Ave Se #100, Kent, WA 98030 2018-09-05
1952809543 Sarah Rose Collins Massage Therapist 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 2018-01-29
1295233328 Tommy Eugene Sauget Massage Therapist 29020 188th Ave Se, Kent, WA 98042-9223 2018-01-23
1710408968 Celyna Dayanara Easley Massage Therapist 27020 Pacific Hwy S Ste B, Kent, WA 98032-6951 2017-06-28
1174043699 Rashell Mae Carmack Massage Therapist 13106 Se 240th St Ste 202, Kent, WA 98031-9211 2017-06-26
Find all providers in KENT

Competitor

Search similar providers

City KENT
Zip Code 98032

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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