Stephanie Danielle Blake DPT

NPI 1003124769 - Physical Therapist - 2251G0304X

NPI Details
NPI 1003124769
Gender Female
Enumeration Date 09/15/2010
Last Updated 09/15/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
621 W 21ST ST
ANDOVER KS, 67002-8498, US
Phone (316) 733-1349
Business Location
BEL AIRE KS, 67220-1933, US
Phone (316) 744-2773
Taxonomy Code 2251G0304X
License State Kansas
License Number 11-04112
Remove 1003124769 NPI Number

According to our database, Dr. Stephanie Danielle Blake DPT NPI is 1003124769, taxonomy code is 2251G0304X and license number is 11-04112, license state is located at Kansas. Stephanie Danielle Blake DPT physically located at 621 W 21st St, Andover KS, 67002-8498. NPI Number Stephanie Danielle Blake DPT has the Individual type.

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1003124769 NPI number is provided on an as is basis without warranty of any kind. 1003124769 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Danielle Blake DPT are for informational purposes only.