| NPI | 1740405604 |
|---|---|
| Doing Business As | BLACKISTON CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | HEATHER MCCOY BLACKISTON Owner 410-642-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 02079) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 02079) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2021-03-16 |