Individual
KAYDI BLACKSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
7200 LAWTON CHILES LN, TALLAHASSEE, FL 32312
(850) 583-4480
Mailing address
7200 LAWTON CHILES LN, TALLAHASSEE, FL 32312-0956
(850) 583-4480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL24468
FL
Other
Enumeration date
05/18/2016
Last updated
07/31/2018
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