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Ken Blackburn
Rehabilitation Practitioner in Sparks, Nevada
NPI 1699084608

Ken Blackburn is a Rehabilitation Practitioner based in Sparks, NV. Ken Blackburn practices in Sparks, NV. The NPI Number for Ken Blackburn is 1699084608 and holds a License No. (Nevada).

The current practice location address for Ken Blackburn is 480 Galletti Way, Sparks, NV and can be reached out via phone at 775-333-0943. You can also correspond with Ken Blackburn through the mailing address at 7491 AMBUSH CT, SPARKS, NV - 89436-7459 (mailing address contact number: ).

Location: 480 Galletti Way, Sparks, NV, 89436-7459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699084608
Provider Name
Ken Blackburn
Credential
Provider Entity Type
Individual
Gender
Male
Address
480 Galletti Way, Sparks, NV, 89436-7459
Phone Number
775-333-0943
Fax Number
Provider Enumeration Date
09/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
480 Galletti Way
City
Sparks
State
Nevada
Zip
89431-5564
Phone Number
775-333-0943
Fax Number
person
Provider Business Mailing Address Details
Address
7491 Ambush Ct
City
Sparks
State
Nevada
Zip
89436-7459
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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