William Joseph Blackburn, PT

NPI #1992795777 in Edgewood, Kentucky

Provider Information

NPI Number: 1992795777
Entity Type: Individual
Name: William Joseph Blackburn, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 24, 2005
Last Updated: Apr 29, 2008

Practice Location

Address: 560 SOUTH LOOP RD.
City: Edgewood
State: Kentucky
ZIP Code: 41017
Phone: (859) 301-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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