Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE BLACKLOCK
ActiveMICHELLE BLACKLOCK is a Physical Therapy Assistant healthcare provider located in CUPERTINO, California. NPI 1548741861 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CUPERTINO, CA
Registration Details
- NPI Number
- 1548741861
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2018 (7.9623122063324 yrs)
- Last Updated
- Aug 24, 2018
- License
-
PT295136 (CA)
Practice Information
- Address
-
10580 S DE ANZA BLVDCUPERTINO, CA, 950144450Browse CA providers · Browse ZIP 95014
- Phone
- 4083661735
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CUPERTINO, CA
| Name | Credential | NPI |
|---|---|---|
| LEEANNE OMROD KNAUS | — | 1770553026 |
| EDWARD H PARK | — | 1982678447 |
| MRS. ANNE AKEMI HALL | PT | 1043278146 |
| DR. PETRA A EGGERT | DC PT | 1164467783 |
| NEERAJ BAHETI | M.S.P.T. | 1851315485 |
| NANCY BLOCK | P.T. | 1083628150 |
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.