SearchTexasPhysical Therapy Assistant

Brentley Blackmon, PTA

NPI 1114409588 · on the registry since 2018

Practice

Address
401 Owen Ln
Waco, TX 76710
Phone
(254) 772-8900
Organisation at this address
Fannin County Hospital Authority
Richland Nursing And Rehab Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas