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Contact Information

ANDREA BLAYLOCK, PT
2795 CHARLES BRYAN RD
BARTLETT, TN38134-4773
 Phone: 901-386-3211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ANDREA BLAYLOCK · (Female)

NPI # 1114619517
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/23/2023
Last updated 05/23/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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