Tracy Marie Blackstock

NPI 1932256641 - Physical Therapist - 225100000X

NPI Details
NPI 1932256641
Gender Female
Enumeration Date 01/04/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
404 CLASSCO PL
CLEVELAND MS, 38732-3000, US
Phone (662) 843-3575
Fax (662) 846-1397
Business Location
404 CLASSCO PL
CLEVELAND MS, 38732-3000, US
Phone (662) 843-3575
Fax (662) 846-1397
Toxanomy
Taxonomy Code 225100000X
License State Mississippi
License Number PT2182
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According to our database, Tracy Marie Blackstock NPI is 1932256641, taxonomy code is 225100000X and license number is PT2182, license state is located at Mississippi. Tracy Marie Blackstock physically located at 404 Classco Pl, Cleveland MS, 38732-3000. NPI Number Tracy Marie Blackstock has the Individual type.

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1932256641 NPI number is provided on an as is basis without warranty of any kind. 1932256641 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Marie Blackstock are for informational purposes only.