IndividualActive
Justin Blatchford, PT
NPI 1356820989 · Pediatric Physical Therapist · Elkhorn, NE
Provider details
- NPI number
- 1356820989
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 3881 (NE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
20502 Roosevelt St
Elkhorn, NE 68022-4148
Phone: (402) 955-8181
Approximate (ZIP-level) locationGet directions
Mailing address
10118 Maple St
Omaha, NE 68134-5555
Registry dates
- Enumerated
- 2018-08-14
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.