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Active NPI 1225752744 Individual Practitioner Male Practitioner

Dustin Blackwell , LMT

Massage Therapist • Winlock, WA

Professional Overview & Biography Verified Profile Summary

Dustin Blackwell, LMT is a registered healthcare professional specializing in Massage Therapist in Winlock, WA. Practice services are available at 308 NE FIRST ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

308 Ne First St.

Winlock, WA 98596

Telephone 3607628501
Associated Practice Facility / Clinic
🏢 Myocare Llc Facility NPI 1902510324

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Winlock, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Winlock, WA (13385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-09
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA 61345360

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Kimberly Blackwell , LMT

Massage Therapist

NPI 1164120903

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location January 11, 2023

Registered at 308 NE FIRST ST., WINLOCK, WA 98596 (Tel: 3607628501)

✅
NPI Profile Active September 28, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2022

Registered at 1338 COMMERCE AVE STE 213, LONGVIEW, WA 986323726 (Tel: 3606360991)

📍
Updated Business Mailing Address September 28, 2022

Registered at 126 TENNESSEE RD, WINLOCK, WA 985969725 (Tel: 5415207866)

👤
Provider Name / Credentials Updated September 28, 2022

Recorded as DUSTIN BLACKWELL, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2022

Massage Therapist (License #61345360 in WA)

🟢
Initial NPI Registration & Enumeration September 28, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225752744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2022
Last Update: January 11, 2023
Sole Proprietor: No
Update or Correct Profile

Mailing Address

126 Tennessee Rd

Winlock, WA 985969725

Phone: 5415207866

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.