Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN BLACKBURN, P.T.
ActiveEVAN BLACKBURN, P.T. is a Physical Therapy Assistant healthcare provider located in SUWANEE, Georgia. NPI 1154437754 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SUWANEE, GA
Registration Details
- NPI Number
- 1154437754
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2006 (19.93415438284 yrs)
- Last Updated
- Nov 22, 2013
- License
-
PT005107 (GA)
Practice Information
- Address
-
1180 SATELLITE BLVD NWSUITE 100SUWANEE, GA, 300244636Browse GA providers · Browse ZIP 30024
- Phone
- 4043672080
- Fax
- 7704953493
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in SUWANEE, GA
| Name | Credential | NPI |
|---|---|---|
| MELISSA JILL JOHNSON | PT, ATC, CSCS | 1134167216 |
| MARIA E. DOOLEN | PT | 1023056025 |
| DR. JEFFREY LEWANDOWSKI | DPT, MTC, ATC, SCS | 1568400257 |
| MRS. LEIGH ANNE NASH | PT | 1144330911 |
| SEJONG KIM | PT | 1619079845 |
| JULIA STELL | DPT | 1255439063 |
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.