IndividualActive
Andrew Blackwell
NPI 1528934973 · Kinesiotherapist · Monroe, LA
Provider details
- NPI number
- 1528934973
- Entity type
- Individual
- Primary specialty
- KinesiotherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1978 (LA)
Mailing address
108 Pecan Grove St
Monroe, LA 71203-3940
Registry dates
- Enumerated
- 2025-10-14
- Last updated
- 2025-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.