Shana Blackman, DPT

NPI 1891192647 · on the registry since 2014 · sole proprietor

Practice

Address: 1139 S Sunnyslope Dr
Suite 203
Mount Pleasant, WI 53406
Phone: (262) 321-0240
Fax: (262) 321-0242
Organisation at this address: Acupuncture Therapy & Herbal Clinic
Developmental Disabilities Information Service, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-11-21

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 Wisconsin