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

TRACY MARIE BLACKSTOCK

Active Sole Proprietor

TRACY MARIE BLACKSTOCK is a Physical Therapy Assistant healthcare provider located in CLEVELAND, Mississippi. NPI 1932256641 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CLEVELAND, MS

Registration Details

NPI Number
1932256641
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2007 (19.565692123635 yrs)
Last Updated
Dec 30, 2024
License
PT2182 (MS)
Sole Proprietor
Yes

Practice Information

Address
404 CLASSCO PL
CLEVELAND, MS, 387323000
Browse MS providers · Browse ZIP 38732
Phone
6628433575
Fax
6628461397
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in CLEVELAND, MS

Name Credential NPI
MRS. MARI JANE BOSWORTH PT 1033138813
DAVID M CROWE P.T. 1073607685
DENNIS RYAN SHORT P.T. 1396839908
LORRY KING PT 1508913229
MRS. CARMEN COOPER OGUZ PT 1649490426
JOSHUA D HAYNES 1063736486
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.