IndividualActive
Blain Packard
NPI 1639930191 · Physical Therapy Assistant · Florence, AZ
Provider details
- NPI number
- 1639930191
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 10016A (AZ)
Practice location
120 W Highway 287 Ste 2
Florence, AZ 85132-8170
Phone: (480) 684-4728
Mailing address
23296 N High Dunes Dr
Florence, AZ 85132-7925
Registry dates
- Enumerated
- 2024-01-22
- Last updated
- 2024-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.