Misty Blasingame, PT

NPI #1457761074 in Richardson, Texas

Provider Information

NPI Number: 1457761074
Entity Type: Individual
Name: Misty Blasingame, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 5, 2014
Last Updated: May 8, 2014

Practice Location

Address: 510 N COIT RD
Address 2: 2035 PROMENADE CENTER
City: Richardson
State: Texas
ZIP Code: 75080-5446
Phone: (972) 437-2048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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