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Mr. Stan E. Blackburn, MS,PT
Specialist in Mansfield, Texas
NPI 1780893230

Stan E. Blackburn is a Specialist based in Mansfield, TX. Stan E. Blackburn practices in Mansfield, TX and has the professional credentials of MS,PT. The NPI Number for Stan E. Blackburn is 1780893230 and holds a License No. 1027654 (Texas).

The current practice location address for Stan E. Blackburn is 4003 Calloway Dr, Mansfield, TX and can be reached out via phone at 817-727-3182 and via fax at 682-518-5603.

Location: 4003 Calloway Dr, Mansfield, TX, 76063-3448
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780893230
Provider Name
Stan E. Blackburn
Credential
MS,PT
Provider Entity Type
Individual
Gender
Male
Address
4003 Calloway Dr, Mansfield, TX, 76063-3448
Phone Number
817-727-3182
Fax Number
682-518-5603
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1027654 01 TX PHYSICAL THERAPIST
institution
Provider Business Practice Location Address Details
Address
4003 Calloway Dr
City
Mansfield
State
Texas
Zip
76063-3448
Phone Number
817-727-3182
Fax Number
682-518-5603
person
Provider Business Mailing Address Details
Address
4003 Calloway Dr
City
Mansfield
State
Texas
Zip
76063-3448
Phone Number
817-727-3182
Fax Number
682-518-5603
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1027654 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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