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NPI Code Detail

MEDICARE: DANIELLE BLANKENSHIP PT, DPT

MEDICARE: DANIELLE BLANKENSHIP PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1318316TX
22251P0200XPediatric Physical Therapist1318316TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11318316OTHERTXPHYSICAL THERAPY

General Provider Information

NPI Number : 1922665124
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE BLANKENSHIP PT, DPT
Provider Business Mailing Address
First Line : 10640 N RIVERSIDE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-9502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10640 N RIVERSIDE DR STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-9506
Country : US
Telephone Number : 817-431-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2019
Last Update Date : 08/18/2025

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