Staci Blackburn PT

  • NPI 1326602798
According to our database, the NPI number for Staci Blackburn PT is 1326602798 and activated since 5 years ago. Staci Blackburn PT is an individual provider who specializes in Physical Therapist, and the primary practice location is 10415 Grand River Rd Ste 300, Brighton, MI 48116. You can also contact Staci Blackburn PT via telephone number is (810) 229-6140. Provider NPI information was last updated on 06/05/2019.

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Overview of Staci Blackburn PT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 04/30/2019
  • Last updated: 06/05/2019

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 5501019151
  • License State: MI

Provider Mailing Address

  • Address: 790 Remington Blvd
    Bolingbrook, IL 60440
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 10415 Grand River Rd Ste 300
    Brighton, MI 48116
  • Phone: 810-229-6140
  • Fax:

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 5501019151
  • License State: MI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Staci Blackburn PT?
  • A: The npi number for Staci Blackburn PT is 1326602798.
  • Q: What are Staci Blackburn PT's specialties?
  • A: Staci Blackburn PT's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for Staci Blackburn PT?
  • A: The medical license number for Staci Blackburn PT is 5501019151 and issued in MI in USA.
  • Q: Where is Staci Blackburn PT practice location?
  • A: Staci Blackburn PT is practicing at 10415 Grand River Rd Ste 300, Brighton, MI 48116.
  • Q: How to contact Staci Blackburn PT?
  • A: You can contact Staci Blackburn PT via 810-229-6140.
Medicare Specialty
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Clinical Pharmacology
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Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.