DR. Spencer David Blackie, PT, DPT, MA, OTR,

NPI #1083982565 in Prescott, Wisconsin

Provider Information

NPI Number
1083982565
Entity Type
Individual
Name
DR. Spencer David Blackie, PT, DPT, MA, OTR,
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT, DPT, MA, OTR,
Enumeration Date
Dec 12, 2011
Last Updated
Dec 12, 2011

Practice Location

Address
1505 ORRIN RD
ZIP Code
54021-1074
Phone
(715) 262-1107

Specialties & Taxonomy Codes

Specialty
Physical Therapist
Occupational Therapist

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