| NPI | 1336492297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HERBERT BLAKELY Owner/Physical Therapist 828-342-7358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 7217) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8721) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2020-09-30 |