Michelle Dawn Blackburn

NPI #1881434744 in Hiawatha, Iowa

Provider Information

NPI Number: 1881434744
Entity Type: Individual
Name: Michelle Dawn Blackburn
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 29, 2024
Last Updated: May 29, 2024

Practice Location

Address: 125 E BOYSON RD APT 606
City: Hiawatha
State: Iowa
ZIP Code: 52233-1282
Phone: (319) 202-4825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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