IndividualActive
Eva Blacconiere, DPT
NPI 1881374882 · Pediatric Physical Therapist · Kent, WA
Provider details
- NPI number
- 1881374882
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT61468161 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
10811 Se Kent Kangley Rd
Kent, WA 98030-7108
Phone: (253) 854-5660
Fax: (253) 854-7025
Approximate (ZIP-level) locationGet directions
Mailing address
10811 Se Kent Kangley Rd
Kent, WA 98030-7108
Registry dates
- Enumerated
- 2023-07-24
- Last updated
- 2023-07-24
- Certified
- 2023-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.