Mark William Blackley, PHYSICALTHERAPIST

Individual provider Clinical Electrophysiology Physical Therapist · NPI 1215988605

Mark William Blackley, PHYSICALTHERAPIST is a Clinical Electrophysiology Physical Therapist in Fort Carson, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in: CO
In the registry since: 2006

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Practice location Partly verified

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Physical Therapy Clinic USA Meddac Evans Army Community Hospital
Fort Carson, CO 80913-4604
Phone: (719) 526-7120

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Specialties & licences

Clinical Electrophysiology Physical Therapist (primary)	Taxonomy 2251E1300X · Licence 2788 (CO)

Record details

NPI number	1215988605
Entity type	Individual (Type 1)
Gender	Male
Credentials	PHYSICALTHERAPIST
Sole proprietor	No
NPI enumerated	May 12, 2006
Last updated in NPPES	July 2, 2025
Certification date	July 2, 2025