TRACEY BLACKMORE

INDIANAPOLIS, IN
NPI1689747420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05007577A)
Enumeration Date2006-11-17
Last Update Date2016-09-22
Business Address
-- TRACEY BLACKMORE PT
8820 ANCHOR BAY CT
INDIANAPOLIS, IN 46236-8210
Phone number: 317-826-1853
Mailing Address
-- TRACEY BLACKMORE PT
6437 RUCKER RD
INDIANAPOLIS, IN 46220-4885
Phone number: 317-405-9016