MADISON A BLACKBURN DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028436

License Status

ACTIVE

Business

Title

DPT

First Name

MADISON

Middle

Last Name

BLACKBURN

Prefix

Business Name

MADISON A BLACKBURN DPT

Original Issue Date

08/09/2024

Effective Date

08/09/2024

Expiration Date

09/30/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

10/29/2025