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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAMALA BLEVINS

Active Sole Proprietor

TAMALA BLEVINS is a Physical Therapy Assistant healthcare provider located in ELLENWOOD, Georgia. NPI 1053486811 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ELLENWOOD, GA

Registration Details

NPI Number
1053486811
Provider Type
Individual
Gender
Female
NPI Issued
Nov 21, 2006 (19.699890386757 yrs)
Last Updated
Jun 3, 2012
License
PT007951 (GA)
Sole Proprietor
Yes

Practice Information

Address
4041 SMITHFIELD TRL
ELLENWOOD, GA, 302941655
Browse GA providers · Browse ZIP 30294
Phone
4045202675
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ELLENWOOD, GA

Name Credential NPI
NIAH YVETTE FULFORD PT, DPT 1417071564
MONIQUE SIMMONS DILLARD PT 1790908572
MRS. DEBORAH JONES PT 1912106931
MISS LATALVIA PARAMORE PT 1063677201
FRANCINE ELLIS MPT 1831333707
MS. SERAH IYABODE AYOOLA DPT 1831329663
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.