Provider Demographics
NPI:1912052242
Name:BLAIR INVESTMENTS INC
Entity Type:Organization
Organization Name:BLAIR INVESTMENTS INC
Other - Org Name:HANDS ON PHYSICAL THERAPY/HIGH COUNTRY PHYSICAL TRAHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:307-235-3910
Mailing Address - Street 1:1541 CENTENNIAL CT
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-7304
Mailing Address - Country:US
Mailing Address - Phone:307-235-3910
Mailing Address - Fax:307-637-3568
Practice Address - Street 1:1331 PRAIRIE AVE STE 6
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-4867
Practice Address - Country:US
Practice Address - Phone:307-637-4617
Practice Address - Fax:307-637-3568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY05804001OtherBLUE CROSS
WY05804001OtherBLUE CROSS
WY05804001OtherBLUE CROSS
WYW20423Medicare ID - Type Unspecified