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

Blaise Kenneth Smith

Individual provider Physical Therapy Assistant · NPI 1366211906

Blaise Kenneth Smith is a Physical Therapy Assistant in Tukwila, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

2811 S 102nd St Ste 220
Tukwila, WA 98168-1870
Phone: (425) 525-6800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence P1603029323 (WA)

Record details

NPI number1366211906
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 22, 2023
Last updated in NPPESDecember 22, 2023
Certification dateDecember 22, 2023
Mailing address2811 S 102nd St, Suite 220, Tukwila, WA 98168-1870

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