Individual
RYAN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 W NORTH ST, POPLARVILLE, MS 39470-2203
(601) 795-2130
Mailing address
42465 HIGHWAY 195, HALEYVILLE, AL 35565-7052
(256) 350-1764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7955
MS
Other
Enumeration date
11/02/2021
Last updated
06/26/2025
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