IndividualActive
Jordan Blagrave, DPT
NPI 1255174801 · Physical Therapist · Lamesa, TX
Provider details
- NPI number
- 1255174801
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 1394078
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
221 N Main Ave
Lamesa, TX 79331-5533
Phone: (806) 200-5030
Fax: (806) 370-6484
Approximate (ZIP-level) locationGet directions
Mailing address
221 N Main Ave
Lamesa, TX 79331-5533
Registry dates
- Enumerated
- 2024-06-13
- Last updated
- 2024-10-22
- Certified
- 2024-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.