IndividualActive
Amie Blackwood, PTA
NPI 1851744056 · Community Health Worker · Lake Mary, FL
Provider details
- NPI number
- 1851744056
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA23405 (FL)
Specialties & taxonomies
Other Service Providers
Practice location
781 Creekwater Ter
Apt 111
Lake Mary, FL 32746-6063
Phone: (407) 925-4605
Approximate (ZIP-level) locationGet directions
Mailing address
781 Creekwater Ter
Lake Mary, FL 32746-6063
Registry dates
- Enumerated
- 2016-07-22
- Last updated
- 2016-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.