Individual
MISS KOURTNIE BRIANN BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 WEEPING WILLOW DR APT K, LYNCHBURG, VA 24501-3962
(336) 880-3978
Mailing address
1500 WEEPING WILLOW DR APT K, LYNCHBURG, VA 24501-3962
(336) 880-3978
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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