Individual provider · Type 1 NPI

Dustin Blackwell, LMT

Massage Therapist · Winlock, WA

NPI number 1225752744 Active

Practice location

308 NE First St.
Winlock, WA 98596

Call (360) 762-8501 Map

Mailing address

126 Tennessee Rd
Winlock, WA 98596-9725

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X61345360 (WA)

Massage Therapist: 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.

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About NPI 1225752744

Dustin Blackwell, LMT's National Provider Identifier is 1225752744, issued on Sep 28, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Winlock, WA. The record was last updated on Jan 11, 2023.