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

Individual provider Physical Therapy Assistant · NPI 1881434744

Michelle Dawn Blackburn is a Physical Therapy Assistant in Hiawatha, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2024
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Practice location Address checks out

125 E Boyson Rd Apt 606
Hiawatha, IA 52233-1282
Phone: (319) 202-4825
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 005091 (IA)

Record details

NPI number1881434744
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address125 E Boyson Rd Apt 606, Hiawatha, IA 52233-1282

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