Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKELYNN COLCLASURE BASS, DPT
Active Sole ProprietorBLAKELYNN COLCLASURE BASS, DPT is a Physical Therapy Assistant healthcare provider located in VIDALIA, Louisiana. NPI 1629693601 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · VIDALIA, LA
Registration Details
- NPI Number
- 1629693601
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2020 (6.1253020884477 yrs)
- Last Updated
- Jan 31, 2024
- Licenses
-
10613 (LA)10613 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4616 HIGHWAY 84 WVIDALIA, LA, 713733357Browse LA providers · Browse ZIP 71373
- Phone
- 3183365400
- Fax
- 3183368622
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in VIDALIA, LA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL R WIMBERLY II | PT,MPT | 1700937950 |
| ERIN FOURNET WOODRUFF | DPT | 1053766410 |
| MRS. LACEY OZBURN | DPT | 1043719040 |
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.