| Organization Name: | HILL COUNTRY UPPER EXTREMITY THERAPY, PLLC |
| NPI Number: | 1215119839 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JON FRANK BLACKBURN (CERTIFIED UPPER EXTREMITY THERAPIST) |
| Mailing Address: | 1701 N Hwy 281 Marble Falls |
| State: | TX US |
| Postal Code: | 786544311 |
| Phone Number: | 5123012403 |
| Fax Number: | 5123012899 |
| NPI Enumeration Date: | 12/05/2007 |
| NPI Last Update Date: | 12/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |