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Contact Information

KRISTEN BLAZEK, PT, DPT
2101 DUTCH FORK RD
WHITE ROCK, SC29177
 Phone: 803-732-8790
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KRISTEN BLAZEK · (Female)

NPI # 1316459886
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 10/24/2017
Last updated 01/26/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 8189
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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