IndividualActive
Caressa Blackman, CTRS
NPI 1396367405 · Recreation Therapist · Caddo Mills, TX
Provider details
- NPI number
- 1396367405
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- No
Mailing address
1201 E 9th St
Bonham, TX 75418-4059
Registry dates
- Enumerated
- 2020-05-12
- Last updated
- 2021-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.