Brentley Kyle Blackmon, PTA
NPI #1114409588 in Waco, Texas
Provider Information
- NPI Number
- 1114409588
- Entity Type
- Individual
- Name
- Brentley Kyle Blackmon, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 3, 2018
- Last Updated
- Sep 3, 2018
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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