Kimberly Ann Blackburn, ATC
Specialist/Technologist, Athletic Trainer in Cleveland Heights, OH. Individual provider (NPI-1).
NPI number1790748713
StatusActive
Last updated in NPPESSep 3, 2013
Details
- NPI
- 1790748713
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kimberly Ann Blackburn
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2006
- Last updated
- Sep 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT-015 | OH | Yes |
Practice location
3301 N Park BlvdBeaumont School
Cleveland Heights, OH 44118-4258
Phone 440-223-3292
Mailing address
11694 Prospect RdStrongsville, OH 44149-2928
Phone 440-572-0126
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Other Athletic Trainer providers in Cleveland Heights, OH
- Bethany Avramaut, AT, ATCNPI 1639687429
- Julie Brough, ATNPI 1568830370
- Spencer Edward Furlich, MS, AT, ATC, NREMTNPI 1588295513
- Michael SingletonNPI 1710472006
- William Andrew Hart Stotter, AT, ATC, CSCSNPI 1982104170
All 6 Athletic Trainer providers in Cleveland Heights · All 1,028 providers in Cleveland Heights
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