NPI 1023544822

Breanna Blackburn

Practitioner Physical Therapy Assistant Rock Springs, WY

Practice location

Address: 416 W Blair Ave, Rock Springs, WY 82901-7113
Phone: (307) 382-3242

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA0014115 (CO)

Other Physical Therapy Assistant providers in Wyoming →

Registry record

NPI: 1023544822
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2017
Record last updated: 11 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.