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 provides Sports Physician Chiropractor services 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 Not confirmed with CMS for 18 years — call before visiting
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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