Provider Demographics
NPI:1841269826
Name:BALLARD, BRITTANY BLAIRE (MPT)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:BLAIRE
Last Name:BALLARD
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5464 ALBANY RDG
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-9621
Mailing Address - Country:US
Mailing Address - Phone:614-329-4527
Mailing Address - Fax:
Practice Address - Street 1:565 CHILDRENS DR W
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2648
Practice Address - Country:US
Practice Address - Phone:614-228-5523
Practice Address - Fax:614-228-8249
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH011099225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist