OrganizationActive
Blackburn Clinic, Inc. Ps
NPI 1083899066 · Sports Physician Chiropractor · Kent, WA
Provider details
- NPI number
- 1083899066
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Gary Blackburn, Owner(253) 854-8880
- License
- CH00034702 (WA)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11107 Se Kent Kangley Rd
Kent, WA 98030-7707
Phone: (253) 854-8880
Fax: (253) 854-7160
Street-level locationGet directions
Mailing address
11107 Se Kent Kangley Rd
Kent, WA 98030-7707
Other names (DBA / former)
- Doing business as
- Rebound
Registry dates
- Enumerated
- 2008-01-08
- Last updated
- 2008-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.