Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB BLACKMON, CCP
ActiveJACOB BLACKMON, CCP is a Orthotic Fitter healthcare provider located in DALLAS, Texas. NPI 1053130930 is currently active in the NPPES registry. Verify at CMS.
Orthotic Fitter · DALLAS, TX
Registration Details
- NPI Number
- 1053130930
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2024 (1.8147601314193 yrs)
- Last Updated
- Oct 7, 2024
- License
-
199052 (TX)
Practice Information
- Address
-
8200 WALNUT HILL LNDALLAS, TX, 752314402Browse TX providers · Browse ZIP 75231
- Phone
- 2143456789
- Primary Specialty
-
Orthotic Fitter
242T00000X
Other Orthotic Fitter Providers in DALLAS, TX
| Name | Credential | NPI |
|---|---|---|
| DARYLL MARK KESSLER | L.P., C.C.P. | 1215150453 |
| MR. GLEN DAVID ADAMS | LP, CCP | 1053535757 |
| CHRISTOPHER STEVEN PRICE | CCP, LP | 1417173642 |
| PAUL ANTHOINY CHALFANT | MS, MPH, CCP | 1740492305 |
| WATSON ANONETAPIPAT | — | 1528244431 |
| KAREN ANN WITHERSPOON | CCP | 1881922870 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.