IndividualActive
Dustin Blackwell, LMT
NPI 1225752744 · Massage Therapist · Winlock, WA
Provider details
- NPI number
- 1225752744
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- License
- 61345360 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
308 Ne First St.
Winlock, WA 98596
Phone: (360) 762-8501
Approximate (ZIP-level) locationGet directions
Mailing address
126 Tennessee Rd
Winlock, WA 98596-9725
Registry dates
- Enumerated
- 2022-09-28
- Last updated
- 2023-01-11
- Certified
- 2023-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.