Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blain Alan Packard

Individual provider Physical Therapy Assistant · NPI 1639930191

Blain Alan Packard is a Physical Therapy Assistant in Florence, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

120 W Highway 287 Ste 2
Florence, AZ 85132-8170
Phone: (480) 684-4728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 10016A (AZ)

Record details

NPI number1639930191
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 21, 2024
Mailing address23296 N High Dunes Dr, Florence, AZ 85132-7925