Individual provider · Type 1 NPI

Lisa Blackston, PTA

Physical Therapy Assistant · Sheboygan, WI

NPI number 1346114287 Active

Practice location

3431 N 13th St
Sheboygan, WI 53083-2938

Call (920) 457-5046 Map

Mailing address

W6680 County Road Jp
Elkhart Lake, WI 53020-1903

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1346114287

Lisa Blackston, PTA's National Provider Identifier is 1346114287, issued on Oct 2, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sheboygan, WI. The record was last updated on Oct 2, 2025.