Individual provider · Type 1 NPI

Stephen John Blackett, PTA

Pediatric Skilled Nursing Facility · Rutland, VT

NPI number 1720283328 Active

About NPI 1720283328

Stephen John Blackett, PTA's National Provider Identifier is 1720283328, issued on Jun 15, 2007. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Rutland, VT. The record was last updated on Jul 8, 2007.