Blackwell, Jody
Blackwell, Jody is an sole proprietor health care provider with primary practice located at 4305 S Hulen St , Fort Worth TX 76109-4917. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Blackwell, Jody can be contacted via phone (682) 225-6090.Contact Information
Primary practice address
4305 S Hulen St
Fort Worth TX 76109-4917
Phone: (682) 225-6090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT038617 | Texas |
Profile Details
| NPI number | 1417406273 |
|---|---|
| LBN Legal business name | Blackwell, Jody |
| Credentials | Medical Technologist (MT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2016 |
| Last updated | Sep 21st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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