Amanda L Blackmon, P.T., D.P.T.

NPI #1356773998 in Laramie, Wyoming

Provider Information

NPI Number
1356773998
Entity Type
Individual
Name
Amanda L Blackmon, P.T., D.P.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
P.T., D.P.T.
Enumeration Date
Aug 6, 2013
Last Updated
Jul 7, 2015

Practice Location

Address
1909 VISTA DR
State
Wyoming
ZIP Code
82070-5530
Phone
(307) 721-8024

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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