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

DR. SPENCER DAVID BLACKIE, PT, DPT, MA, OTR

Active

DR. SPENCER DAVID BLACKIE, PT, DPT, MA, OTR is a Physical Therapy Assistant healthcare provider located in PRESCOTT, Wisconsin. NPI 1083982565 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PRESCOTT, WI

Registration Details

NPI Number
1083982565
Provider Type
Individual
Gender
Male
NPI Issued
Dec 12, 2011 (14.492970960676 yrs)
Last Updated
Dec 12, 2011
Licenses
4300-24 (WI)
1811-26 (WI)

Practice Information

Address
1505 ORRIN RD
PRESCOTT, WI, 540211074
Browse WI providers · Browse ZIP 54021
Phone
7152621107
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Occupational Therapist

Other Physical Therapy Assistant Providers in PRESCOTT, WI

Name Credential NPI
SARAH MICHELLE HARVIEUX PT 1245396522
KAELEIGH ADAMI DPT 1407250368
JANNA M JOHNSON PHYSICAL THERAPIST 1861960791
REBEKAH KIMLINGER 1467051714
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.