Healthcare Provider Details

I. General information

NPI: 1912052242
Provider Name (Legal Business Name): BLAIR INVESTMENTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4020 LARAMIE ST
CHEYENNE WY
82001-2064
US

IV. Provider business mailing address

1541 CENTENNIAL CT
CASPER WY
82609-7304
US

V. Phone/Fax

Practice location:
  • Phone: 307-637-4617
  • Fax:
Mailing address:
  • Phone: 307-235-3910
  • Fax: 307-637-3568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHY JEAN BLAIR
Title or Position: PRESIDENT/OWNER
Credential: PT
Phone: 307-235-3910