LISA BLACKSTON

SHEBOYGAN, WI
NPI1346114287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2025-10-02
Last Update Date2025-10-02
Business Address
LISA BLACKSTON PTA
3431 N 13TH ST
SHEBOYGAN, WI 53083-2938
Phone number: 920-457-5046
Mailing Address
LISA BLACKSTON PTA
W6680 COUNTY ROAD JP
ELKHART LAKE, WI 53020-1903
Phone number:
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