Individual
CAROL D BLAIR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT, OCS, SCS, CSCS
Contact information
Practice address
14075R S 1ST ST, MILAN, TN 38358-6195
(731) 686-2010
(731) 686-3798
Mailing address
PO BOX 712, 14075R SOUTH FIRST ST., MILAN, TN 38358-0712
(731) 686-2010
(731) 686-3798
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT495
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38756
BCBS PROVIDER #
TN
Enumeration date
04/03/2006
Last updated
07/08/2007
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