Blackmon, Absalom

Blackmon, Absalom is an individual health care provider with primary practice located at 4822 River Vista Ln Apt B , Tampa FL 33617-7589. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is his primary health care specialty. Blackmon, Absalom can be contacted via phone (601) 874-8542.

Contact Information

Primary practice address
4822 River Vista Ln Apt B Tampa FL 33617-7589
Phone: (601) 874-8542
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227022111 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist 226300000X 2055 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist 226300000X 2055 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA100038 Florida

Profile Details

NPI number 1407474919
LBN Legal business name Blackmon, Absalom
Credentials RKT, LMT,MMP,CPS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2020
Last updated May 15th, 2023 - about 2 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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