Individual provider · Type 1 NPI

Teddy Blodgett

Contractor · Tyler, TX

NPI number 1306244470 Active

Practice location

7761 FM 14, Trlr 60
Tyler, TX 75706-7854

Fax (903) 526-4110

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X26-3003000 (TX)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1306244470

Teddy Blodgett's National Provider Identifier is 1306244470, issued on Dec 5, 2014. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Tyler, TX. The record was last updated on Dec 5, 2014.