Search › Pennsylvania › 103TC0700X
Tegan Blackbird, PH D
NPI 1841211026 · on the registry since 2006
Practice
- Address
- 108 S Main St
Manheim, PA 17545 - Phone
- (717) 964-8897
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103T00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-10
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 Pennsylvania