| Doctor Name: | MR. MICHAEL S BLUBAUGH |
| NPI Number: | 1104855683 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT,LMT |
| License Number: | 117614 |
| Business Practice Address: | 6724 Troost Ave Ste. 312 Kansas City, MO - 641311500 |
| Business Phone Number: | 8163332290 |
| Business Fax Number: | 8163332291 |
| Mailing Address: | 2318 Somerset Dr, PRAIRIE VILLAGE |
| State: | KS |
| Postal Code: | 662061244 |
| Phone Number: | 9135267220 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 05/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 117614 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |