Blaine Marshall
Blaine Marshall is a Physical Therapist in Lake Jackson, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2022
Practice location Address checks out
210 Lake Rd Ste 500Lake Jackson, TX 77566-4982
Phone: (979) 258-7228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 1352837 (TX) |
|---|
Record details
| NPI number | 1528702099 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 21, 2022 |
| Last updated in NPPES | April 21, 2022 |
| Certification date | April 21, 2022 |
| Mailing address | 12400 Shadow Creek Pkwy Apt 409, Pearland, TX 77584-7349 |
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