IndividualActive
Byron Blackwell, MPT
NPI 1508259334 · Physical Therapist · Bogalusa, LA
Provider details
- NPI number
- 1508259334
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT07163R (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1202 Sunset Dr
Bogalusa, LA 70427-8710
Phone: (985) 735-1426
Fax: (985) 735-1428
Approximate (ZIP-level) locationGet directions
Mailing address
1202 Sunset Dr
Bogalusa, LA 70427-8710
Registry dates
- Enumerated
- 2015-03-18
- Last updated
- 2015-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.