Andrew Blish

Individual provider Active NPI Physical Therapist · Lexington, NC

NPI 1255898623 · NPPES record last updated Feb 21, 2019

Key facts

NPI
1255898623
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
P10537 (NC)
Practice address
250 Hospital Dr
Lexington, NC 27292-6792
Phone
(336) 238-4776
NPI assigned
Feb 21, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P10537NCMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P10537 NC Yes

Addresses

Primary practice location

250 Hospital Dr
Lexington, NC 27292-6792

Mailing address

4704 Crestwick CT
Greensboro, NC 27406-8712

Other practice location 1

250 Hospital Dr
Lexington, NC 27292-6792
Phone (336) 238-4776

Other providers in Lexington, NC

All providers in Lexington, NC · Physical Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.