Individual provider · Type 1 NPI

Gavin Blackwell

Physical Therapy Assistant · Jackson, TN

NPI number 1154863454 Active

Practice location

115 Quail Rdg
Jackson, TN 38305-5420

Call (731) 803-0654 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X0000006264 (TN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1154863454

Gavin Blackwell's National Provider Identifier is 1154863454, issued on Nov 17, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jackson, TN. The record was last updated on Nov 17, 2016.