Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LYLES BLALOCK CANNON III, MPT, MS
ActiveMR. LYLES BLALOCK CANNON III, MPT, MS is a Physical Therapy Assistant healthcare provider located in PASADENA, Maryland. NPI 1952409625 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PASADENA, MD
Registration Details
- NPI Number
- 1952409625
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.855619371651 yrs)
- Last Updated
- Jul 8, 2007
- License
-
21457 (MD)
Practice Information
- Address
-
8131 RITCHIE HWYSUITE EPASADENA, MD, 211226940Browse MD providers · Browse ZIP 21122
- Phone
- 4105904360
- Fax
- 4105904365
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PASADENA, MD
| Name | Credential | NPI |
|---|---|---|
| TERESA STEVENSON | PT | 1811903362 |
| MRS. GRETCHEN ELISA MICHAELS | M.S.P.T. | 1144236811 |
| TRACY ANN O'KANE | P.T. | 1932218054 |
| MS. JANE SCHMIDT | PT CHT | 1356410716 |
| BONNIE AIELLO | PT | 1326101056 |
| JENNIFER LEAH BUCHANAN | PT, ATC | 1760689939 |
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.