| Doctor Name: | MRS. GRETCHEN M BLAYLOCK |
| NPI Number: | 1598892424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT-2654 |
| Business Practice Address: | 98-1238 Kaahumanu St Ste 304 Pearl City, HI - 967823250 |
| Business Phone Number: | 8084884243 |
| Business Fax Number: | 8084842229 |
| Mailing Address: | 5070 Likini St Apt 708, HONOLULU |
| State: | HI |
| Postal Code: | 968182373 |
| Phone Number: | 4129154983 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 01/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT-2654 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| 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 |