Mark William Blackley, PHYSICAL THERAPIST
NPI #1215988605 in Fort Carson, Colorado
Provider Information
- NPI Number
- 1215988605
- Entity Type
- Individual
- Name
- Mark William Blackley, PHYSICAL THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist - Electrophysiology, Clinical
- Credential
- PHYSICAL THERAPIST
- Enumeration Date
- May 12, 2006
- Last Updated
- Jul 2, 2025
Practice Location
- Address
- PHYSICAL THERAPY CLINIC
- Address 2
- USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL
- City
- Fort Carson
- State
- Colorado
- ZIP Code
- 80913-4604
- Phone
- (719) 526-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Electrophysiology, Clinical — Electrophysiology, Clinical |
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