Doctor Name: | MR. ROBERT MARK BLACKBURN |
NPI Number: | 1003980871 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1123263 |
Business Practice Address: | Stephenville Sports Rehab And Physical Therapy Inc 2269 Nw Loop Stephenville, TX - 76401 |
Business Phone Number: | 2549652723 |
Business Fax Number: | 2549657394 |
Mailing Address: | 2269 N W Loop, STEPHENVILLE |
State: | TX |
Postal Code: | 76401 |
Phone Number: | 2549652723 |
Fax Number: | 2549657394 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1123263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |