Individual provider · Type 1 NPI
Amanda Suson Blair, D.P.T
Military Health Care Provider · Marshall, AR
NPI number
1295986388
Active
Practice location
1458 Hensley Farm Rd
Marshall, AR 72650-8672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | PT 3102 (AR) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
About NPI 1295986388
Amanda Suson Blair, D.P.T's National Provider Identifier is 1295986388, issued on Oct 7, 2008. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Marshall, AR. The record was last updated on Oct 7, 2008.