Individual
BRITTANY M BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2325 LODGE DR, GERING, NE 69341-6825
(308) 436-5007
Mailing address
2629 3RD AVE, SCOTTSBLUFF, NE 69361-1712
(308) 430-8433
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1534
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534
—
NE
Enumeration date
02/16/2023
Last updated
02/16/2023
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