Individual provider · Type 1 NPI
Breanna Blackstone
Student in an Organized Health Care Education/Training Program · Morgantown, IN
NPI number
1124406418
Active
Practice location
7016 W 300 S
Morgantown, IN 46160-9691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1124406418
Breanna Blackstone's National Provider Identifier is 1124406418, issued on May 7, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Morgantown, IN. The record was last updated on May 7, 2015.