Michele Blackmon, PT

NPI #1750879821 in Brownsboro, Texas

Provider Information

NPI Number: 1750879821
Entity Type: Individual
Name: Michele Blackmon, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 24, 2018
Last Updated: Apr 24, 2018

Practice Location

Address: 8804 COUNTY ROAD 3603
City: Brownsboro
State: Texas
ZIP Code: 75756-6215
Phone: (903) 852-3097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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