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Individual

DR. JUSTIN L BLATCHFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
20502 ROOSEVELT ST, ELKHORN, NE 68022-4148
(402) 955-8181
Mailing address
10118 MAPLE ST, OMAHA, NE 68134-5555
(402) 939-7939
(402) 939-7940

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3881
NE
2251P0200X
Pediatric Physical Therapist
Primary
3881
NE
2251X0800X
Orthopedic Physical Therapist
3881
NE

Other

Enumeration date
08/14/2018
Last updated
01/12/2026
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