GAVIN BLACKWELL
Restorative Service Providers at Quail Rdg, Jackson, TN

License number
Tennessee 0000006264
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address
115 Quail Rdg, Jackson, TN 38305
Phone
(731) 803-0654
National Provider ID: 1154863454
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Professional information

Gavin Blackwell Photo 1

Performing Arts Professional
Location:
Jackson, Tennessee Area
Industry:
Performing Arts
Education:
University of Tennessee-Knoxville 1992 - 1996
BA, Theatre

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