Individual provider · Type 1 NPI
Gary Robert Blackburn
Prosthetic/Orthotic Supplier · Noblesville, IN
Practice location
501 S 9th St, Suite 17
Noblesville, IN 46060-2717
Fax (317) 774-5741
Mailing address
14098 Meadow Lake Dr
Fishers, IN 46038-5587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1467896258
Gary Robert Blackburn's National Provider Identifier is 1467896258, issued on Apr 23, 2013. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Noblesville, IN. The record was last updated on Jul 3, 2013.