Gavin Blackwell
Gavin Blackwell is a Physical Therapy Assistant in Jackson, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2016
Practice location Address checks out
115 Quail RdgJackson, TN 38305-5420
Phone: (731) 803-0654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 0000006264 (TN) |
|---|
Record details
| NPI number | 1154863454 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 17, 2016 |
| Last updated in NPPES | November 17, 2016 |
| Mailing address | 115 Quail Rdg, Jackson, TN 38305-5420 |
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