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Mark William Blackley, PHYSICALTHERAPIST
Clinical Electrophysiology Physical Therapist in Fort Carson, Colorado
NPI 1215988605

Mark William Blackley is a Clinical Electrophysiology Physical Therapist based in Fort Carson, CO and is specialized in Electrophysiology, Clinical. Mark William Blackley practices in Fort Carson, CO and has the professional credentials of PHYSICALTHERAPIST. The NPI Number for Mark William Blackley is 1215988605 and holds a License No. 2788 (Colorado).

The current practice location address for Mark William Blackley is Physical Therapy Clinic, Fort Carson, CO and can be reached out via phone at 719-526-7120. You can also correspond with Mark William Blackley through the mailing address at 1650 COCHRANE CIR, ATTN: CREDENTIALS OFFICE, FORT CARSON, CO - 80913-4604 (mailing address contact number: 719-526-7844).

Location: Physical Therapy Clinic, Fort Carson, CO, 80913-4604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215988605
Provider Name
Mark William Blackley
Credential
PHYSICALTHERAPIST
Provider Entity Type
Individual
Gender
Male
Address
Physical Therapy Clinic, Fort Carson, CO, 80913-4604
Phone Number
719-526-7120
Fax Number
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Physical Therapy Clinic
City
Fort Carson
State
Colorado
Zip
80913-4604
Phone Number
719-526-7120
Fax Number
person
Provider Business Mailing Address Details
Address
1650 Cochrane Cir, Attn: Credentials Office
City
Fort Carson
State
Colorado
Zip
80913-4604
Phone Number
719-526-7844
Fax Number
719-526-7984
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Electrophysiology, Clinical
Taxonomy
2251E1300X
License No.
2788 (Colorado)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.
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