Individual provider · Type 1 NPI
Wyatt Blue, MS, LAT, ATC, CSCS
Contractor · Cardiff By The Sea, CA
Practice location
1732 Mackinnon Ave
Cardiff By The Sea, CA 92007-1605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor Primary | 171W00000X | 0506246 (NV) |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
Another provider at this address
About NPI 1346583754
Wyatt Blue, MS, LAT, ATC, CSCS's National Provider Identifier is 1346583754, issued on Apr 3, 2013. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Cardiff By The Sea, CA. The record was last updated on Jan 16, 2014.