Search › Virginia › 2255A2300X
Kyle Blackman, ATC
NPI 1598008112 · on the registry since 2013 · sole proprietor
Practice
- Address
- 21300 Redskin Park Dr
Ashburn, VA 20147 - Phone
- (703) 726-7000
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-02
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 Virginia