Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackburn Clinic, Inc Ps

Organization Sports Physician Chiropractor · NPI 1083899066

Blackburn Clinic, Inc Ps is a Sports Physician Chiropractor in Kent, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11107 SE Kent Kangley Rd
Kent, WA 98030-7707
Phone: (253) 854-8880
Fax: (253) 854-7160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence CH00034702 (WA)

Record details

NPI number1083899066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Blackburn — Owner · (253) 854-8880
Other names Rebound
NPI enumeratedJanuary 8, 2008
Last updated in NPPESJanuary 8, 2008
Mailing address11107 Se Kent Kangley Rd, Kent, WA 98030-7707

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