Individual
ALLISON BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
601 HEISMAN DRIVE, AUBURN, AL 36849-0001
(334) 844-9810
Mailing address
1900 MOONEY STREET, WINSTON SALEM, NC 27103
(336) 403-5194
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
07/08/2024
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