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

DR. LATASHA RENEE' BLANTON, D.P.T.

Active Sole Proprietor

DR. LATASHA RENEE' BLANTON, D.P.T. is a Physical Therapy Assistant healthcare provider located in STAFFORD, Virginia. NPI 1518151091 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · STAFFORD, VA

Registration Details

NPI Number
1518151091
Provider Type
Individual
Gender
Female
NPI Issued
Aug 28, 2007 (18.9219456569 yrs)
Last Updated
Sep 17, 2014
License
2305204166 (VA)
Sole Proprietor
Yes

Practice Information

Address
2777 JEFFERSON DAVIS HWY
SUITE109
STAFFORD, VA, 225546219
Browse VA providers · Browse ZIP 22554
Phone
5403188615
Fax
5403188619
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in STAFFORD, VA

Name Credential NPI
MRS. MELISSA ANNE MCCORMACK P.T. 1770532202
MRS. NICOLE A SMITH M.S.P.T. 1710027529
MR. PETER JOHN HORRICKS P.T. 1902939689
MRS. MELISSA ANN EAGLETON P.T. 1891916441
MR. PHU QUOC LE MPT 1558582320
MRS. TANIA C BALTES PHYSICAL THERAPIST 1255548467
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.