Matthew Blair, PTA
Physical Therapy Assistant in Silver City, NM. Individual provider (NPI-1).
NPI number1699226506
StatusActive
Last updated in NPPESDec 20, 2023
Details
- NPI
- 1699226506
- Entity type
- Individual (NPI-1)
- Name
- Matthew Blair
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2016
- Certification date
- Dec 20, 2023
- Last updated
- Dec 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PT-2023-2389 | NM | Yes |
| 225200000X | Physical Therapy Assistant | 06006588A | IN | |
| 225200000X | Physical Therapy Assistant | 2561-19 | WI | |
| 225200000X | Physical Therapy Assistant | 10061 | MA | |
| 225200000X | Physical Therapy Assistant | 2349 | CT |
Practice location
3514 N Fowler AveSilver City, NM 88061-7210
Phone 575-388-3127
Mailing address
Po Box 427Nora, IL 61059-0427
Phone 608-228-1721
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Silver City, NM
- Sean AbeytaNPI 1356028674
- Laurie Larson, LMT, PTANPI 1114040250
- Stacey Marble, PTNPI 1033844428
- Michael Patrick MarquezNPI 1871211128
- Jesse Lee MayNPI 1033936158
- Monica SulaitisNPI 1407089220
All 7 Physical Therapy Assistant providers in Silver City · All 796 providers in Silver City
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