MR. WYATT BLUE MS, LAT, ATC, CSCS
NPI 1346583754
Contractor in Cardiff By The Sea, CA

Active since April 03, 2013
1732 MACKINNON AVE, CARDIFF BY THE SEA, CA 92007(603) 812-6913 Get Directions Write a Review

NPPES record last updated: January 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Wyatt Blue Ms, Lat, Atc, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WYATT BLUE MS, LAT, ATC, CSCS (NPI 1346583754) is an individual contractor provider in Cardiff By The Sea, California, licensed in Nevada (0506246) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1346583754
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameMR. WYATT BLUECredential: MS, LAT, ATC, CSCS
Location Address1732 MACKINNON AVECardiff By The Sea, CA 92007-1605
Mailing Address1732 Mackinnon AveCardiff By The Sea, CA 92007-1605 · (603) 812-6913
Sole ProprietorYes
Enumeration DateApril 3, 2013
Last NPPES UpdateJanuary 16, 2014
NPI 1346583754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in NV · 0506246
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
1732 MACKINNON AVE, Cardiff By The Sea, CA 92007

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
1732 MACKINNON AVE
CARDIFF BY THE SEA, CA 92007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyatt Blue's NPI number?

The NPI number for Wyatt Blue is 1346583754. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Wyatt Blue located?

Wyatt Blue practices at 1732 Mackinnon Ave, Cardiff By The Sea, CA 92007. The listed phone number is (603) 812-6913.

What is Wyatt Blue's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Wyatt Blue was last updated on January 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.