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

DR. MADISON BLACKBURN, PT, DPT

Active

DR. MADISON BLACKBURN, PT, DPT is a Physical Therapy Assistant healthcare provider located in BRIDGETON, Missouri. NPI 1710661434 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BRIDGETON, MO

Registration Details

NPI Number
1710661434
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2023 (3.1366988181048 yrs)
Last Updated
Jun 13, 2023
License
2023020675 (MO)

Practice Information

Address
12380 DE PAUL DR
BRIDGETON, MO, 630442511
Browse MO providers · Browse ZIP 63044
Phone
3144479710
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BRIDGETON, MO

Name Credential NPI
MR. KEVIN MATTHEW WAGNER MD PT CERT MDT 1295735926
MISS LANA DASILVA ALLEN P.T. 1679515027
MISS KELLY C HOLSCHEN PT 1063423275
PATRICIA ACKERMANN 1093821332
PATIENCE WESTFALL 1932219458
LISE DALY GARGER PT 1780794875
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.