Blake A. Ballard, PTA
NPI #1487255535 in Monticello, Mississippi
Provider Information
- NPI Number
- 1487255535
- Entity Type
- Individual
- Name
- Blake A. Ballard, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 5, 2020
- Last Updated
- Nov 5, 2020
Practice Location
- Address
- 314 MAIN ST STE C
- City
- Monticello
- State
- Mississippi
- ZIP Code
- 39654-3702
- Phone
- (601) 587-2563
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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