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

Mr. Martin J Blazekovic

Individual provider Physical Therapist · NPI 1073699070

Mr. Martin J Blazekovic is a Physical Therapist in Medical Lake, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

800 W Maple St
Medical Lake, WA 99022-0800
Phone: (509) 299-3121
Fax: (509) 299-7015
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00005962 (WA)

Record details

NPI number1073699070
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 31, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Medical Lake