Lisa Blackston, PTA
NPI #1346114287 in Sheboygan, Wisconsin
Provider Information
- NPI Number
- 1346114287
- Entity Type
- Individual
- Name
- Lisa Blackston, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 2, 2025
- Last Updated
- Oct 2, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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