Individual
CASEY BLACKWELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6688 NOLENSVILLE RD STE 112, BRENTWOOD, TN 37027-8861
(615) 933-5150
(615) 933-5151
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11587
TN
Other
Enumeration date
05/07/2018
Last updated
10/18/2021
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