Doctor Name: | CAROL D BLAIR |
NPI Number: | 1306808639 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, OCS, SCS, CSCS |
License Number: | PT495 |
Business Practice Address: | 14075r S 1st St Milan, TN - 383586195 |
Business Phone Number: | 7316862010 |
Business Fax Number: | 7316863798 |
Mailing Address: | Po Box 712, 14075r South First St. MILAN |
State: | TN |
Postal Code: | 383580712 |
Phone Number: | 7316862010 |
Fax Number: | 7316863798 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT495 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |