Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gavin Blackwell

Individual provider Physical Therapy Assistant · NPI 1154863454

Gavin Blackwell is a Physical Therapy Assistant in Jackson, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2016

Practice location Address checks out

115 Quail Rdg
Jackson, TN 38305-5420
Phone: (731) 803-0654
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0000006264 (TN)

Record details

NPI number1154863454
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 17, 2016
Last updated in NPPESNovember 17, 2016

Other providers in Jackson