NPI 1699226506

Matthew Blair, PTA

Practitioner Physical Therapy Assistant Silver City, NM

Practice location

Address: 3514 N Fowler Ave, Silver City, NM 88061-7210
Phone: (575) 388-3127
Mailing address: PO Box 427, Nora, IL 61059-0427

Registered specialties (5)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PT-2023-2389 (NM)

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Registry record

NPI: 1699226506
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2016
Record last updated: 20 Dec 2023

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.