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

Caressa Blackman, CTRS

Individual provider Recreation Therapist · NPI 1396367405

Caressa Blackman, CTRS is a Recreation Therapist in Caddo Mills, Texas. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

4820 Christie Ave
Caddo Mills, TX 75135
Phone: (843) 476-3460
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1396367405
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedMay 12, 2020
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021
Mailing address1201 E 9th St, Bonham, TX 75418-4059