Individual provider · Type 1 NPI

Ken Blackburn

Rehabilitation Practitioner · Sparks, NV

NPI number 1699084608 Active

Practice location

480 Galletti Way
Sparks, NV 89431-5564

Mailing address

7491 Ambush Ct
Sparks, NV 89436-7459

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1699084608

Ken Blackburn's National Provider Identifier is 1699084608, issued on Sep 26, 2010. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Sparks, NV. The record was last updated on Sep 26, 2010.