MR. STEPHEN JOHN BLACKETT PTA NPI 1720283328

NPI Information

MR. Stephen John Blackett, PTA is a nursing care and pediatric skilled nursing facility in Rutland, VT. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. MR. Stephen John Blackett, PTA NPI is 1720283328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

46 NICHOLS ST
RUTLAND, VT
ZIP 05701-275
Phone: (802) 775-2941

The enumeration date for this NPI number is 6/15/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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