LISA BLACKSTON PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1346114287- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 3431 N 13TH ST, SHEBOYGAN, WI, 530832938
- Phone
- (920) 457-5046
Specialties & Taxonomies
Physical Therapy Assistant
Primary
All Addresses
MAILING
W6680 COUNTY ROAD JP
ELKHART LAKE, WI, 530201903