Tracy Marie Blackstock
Tracy Marie Blackstock is a Physical Therapist in Private Practice in Cleveland, Mississippi. Qualified in 2009, 17 years ago. Practices with Fox Rehab Agency MS LLC, a 65-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 17
- Licensed in
- MS
- In the registry since
- 2007
Practice location Address checks out
404 Classco PlCleveland, MS 38732-3000
Phone: (662) 843-3575
Fax: (662) 846-1397
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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 PT2182 (MS) |
|---|
Record details
| NPI number | 1932256641 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 4, 2007 |
| Last updated in NPPES | December 30, 2024 |
| Certification date | December 30, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Fox Rehab Agency Ms Llc — 65 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Cleveland
-
Mrs. Mari Jane Bosworth, PT
712 N Chrisman Ave Sutie C, Cleveland, MS 38732-2107 · (662) 843-3004
-
Mrs. Kristen Harmon Crow, DPT
513 Robinson Dr, Cleveland, MS 38732-2213 · (662) 207-3849
-
Crow Therapy, LLC
218 N Bolivar Ave, Cleveland, MS 38732-2624 · (662) 207-3849
-
David M Crowe, PT
810 E Sunflower Rd Ste 150, Cleveland, MS 38732 · (662) 843-4990