Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Vivian Blackmer

Individual provider Physical Therapy Assistant · NPI 1770492258

Vivian Blackmer is a Physical Therapy Assistant in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2026.

Licensed in
TN
In the registry since
2026

Practice location Address checks out

101 Jackson Walk Plz
Jackson, TN 38301-3008
Phone: (731) 421-6950
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9085 (TN)

Record details

NPI number1770492258
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 2, 2026
Last updated in NPPESSeptember 2, 2026
Certification dateSeptember 2, 2026

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