Individual
LISA BLACKMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
360 DELL TRL, DUNLAP, TN 37327
(423) 949-4651
Mailing address
2863 SNYDER LOOP, GRAYSVILLE, TN 37338-6402
(815) 262-2959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14380
TN
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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