Breanna Blackstone

NPI #1124406418 in Morgantown, Indiana

Provider Information

NPI Number
1124406418
Entity Type
Individual
Name
Breanna Blackstone
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 7, 2015
Last Updated
May 7, 2015

Practice Location

Address
7016 W 300 S
State
Indiana
ZIP Code
46160-9691
Phone
(765) 894-5116

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer
Student in an Organized Health Care Education/Training Program

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