BRENTLEY KYLE BLACKMON PTA
NPI 1114409588
Physical Therapy Assistant in Waco, TX
About Brentley Kyle Blackmon Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENTLEY KYLE BLACKMON PTA (NPI 1114409588) is an individual physical therapy assistant in Waco, Texas, licensed in Texas (2108097) and active in the NPI registry since September 2018.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WACO, TX 76710
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brentley Blackmon's NPI number?
The NPI number for Brentley Blackmon is 1114409588. It was assigned to this individual provider in the NPPES registry on September 3, 2018.
Where is Brentley Blackmon located?
Brentley Blackmon practices at 401 Owen Ln, Waco, TX 76710. The listed phone number is (254) 772-8900.
What is Brentley Blackmon's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Brentley Blackmon was last updated on September 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.