| Doctor Name: | LAURIE ANN BLASINGAME |
| NPI Number: | 1114203361 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T |
| License Number: | PT3391 |
| Business Practice Address: | 12 E Appleby Rd Ste 104 Fayetteville, AR - 727033901 |
| Business Phone Number: | 4794636824 |
| Business Fax Number: | 4794635653 |
| Mailing Address: | 12 E Appleby Rd Ste 104, FAYETTEVILLE |
| State: | AR |
| Postal Code: | 727033901 |
| Phone Number: | 4794636824 |
| Fax Number: | 4794635653 |
| NPI Enumeration Date: | 11/01/2011 |
| NPI Last Update Date: | 12/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT3391 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| 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 |