Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK WILLIAM BLACKLEY, PHYSICAL THERAPIST
ActiveMARK WILLIAM BLACKLEY, PHYSICAL THERAPIST is a 2251E1300X healthcare provider located in FORT CARSON, Colorado. NPI 1215988605 is currently active in the NPPES registry. Verify at CMS.
2251E1300X · FORT CARSON, CO
Registration Details
- NPI Number
- 1215988605
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2006 (20.23194578137 yrs)
- Last Updated
- Jul 2, 2025
- License
-
2788 (CO)
Practice Information
- Address
-
PHYSICAL THERAPY CLINICUSA MEDDAC, EVANS ARMY COMMUNITY HOSPITALFORT CARSON, CO, 809134604Browse CO providers · Browse ZIP 80913
- Phone
- 7195267120
- Primary Specialty
-
2251E1300X
2251E1300X
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.