NPI 1912709965

Fernanda Blackmer, PTA

Practitioner Physical Therapy Assistant Gulfport, MS

Practice location

Address: 5502 Marvin Shields Blvd. Bldg 472, Gulfport, MS 39501
Phone: (228) 822-5138
Fax: (228) 822-5265
Mailing address: 13011 Lambrecht Rd, Gulfport, MS 39503-7736

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA4769 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1912709965
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2025
Record last updated: 27 Mar 2025

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.