Nanette Blacklock in Wichita Falls - Physical Therapist

Nanette Blacklock - NPI 1801873914

Nanette Blacklock is a Physical Therapist in Wichita Falls, Texas. Nanette Blacklock practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Nanette Blacklock is 1801873914. The last update date is 2007-07-08.

Nanette Blacklock's current location address is 1005 Midwestern Pkwy, Wichita Falls, Texas. You can contact this provider via phone number 9403220771 and fax number 9407664943. The mailing address for Nanette Blacklock is 1005 Midwestern Pkwy, Wichita Falls, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Nanette Blacklock
Address 1005 Midwestern Pkwy, Wichita Falls, Texas
Phone Number 9403220771
Fax Number 9407664943
Sole Proprietor X
Credentials LPT

NPI Number Detail

NPI Number 1801873914
Provider Enumeration Date 2005-12-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1005 Midwestern Pkwy
City Wichita Falls
State Texas (TX)
Post Code 763022211
Phone Number 9403220771
Fax Number 9407664943

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 1043412
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1043412 TX HUMANA ID #
80173T TX BCBS PROVIDER #
125009 TX SUPERIOR ID #

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FAQs about Nanette Blacklock

What is the Nanette Blacklock's 1801873914?

The Nanette Blacklock's NPI (National Provider Identifier) Number is 1801873914. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Nanette Blacklock's physical address?

The Nanette Blacklock is physically located at 1005 Midwestern Pkwy, in the city of Wichita Falls, TX, with the postal code 763022211.

What is Nanette Blacklock's specialized field of practice, and what is the corresponding taxonomy classification code?

The Nanette Blacklock's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1801873914 to Nanette Blacklock?

The Nanette Blacklock received its 1801873914 assignment from the Centers for Medicare & Medicaid Services on 2005-12-29.

When was the information regarding Nanette Blacklock most recently updated?

The details pertaining to the Nanette Blacklock, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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