Kaylie Marie Blackledge

NPI #1821765900 in Red Oak, Iowa

Provider Information

NPI Number: 1821765900
Entity Type: Individual
Name: Kaylie Marie Blackledge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 25, 2021
Last Updated: Aug 25, 2021

Practice Location

Address: 2301 EASTERN AVE
City: Red Oak
State: Iowa
ZIP Code: 51566-1300
Phone: (712) 623-7213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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