Individual
ANDREW BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1691 BIENVILLE DR, MONROE, LA 71201-3756
(318) 343-6100
Mailing address
108 PECAN GROVE ST, MONROE, LA 71203-3940
(251) 272-6334
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1978
LA
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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