| Doctor Name: | GINA LYNETTE BLACKERBY |
| NPI Number: | 1689679466 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 1065332 |
| Business Practice Address: | 620 W Bank St Iowa Park, TX - 763672830 |
| Business Phone Number: | 9405925900 |
| Business Fax Number: | 9405925969 |
| Mailing Address: | 2311 Bridwell Rd, IOWA PARK |
| State: | TX |
| Postal Code: | 763678104 |
| Phone Number: | 9408558019 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2005 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1065332 |
| 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 |