MR. Jeffrey Lee Blake PT

  • NPI 1407834781
According to our database, the NPI number for MR. Jeffrey Lee Blake PT is 1407834781 and activated since 18 years ago. MR. Jeffrey Lee Blake PT is an individual provider who specializes in Physical Therapist, and the primary practice location is 1714 17th St, Santa Monica, CA 90404. You can also contact MR. Jeffrey Lee Blake PT via telephone number is (310) 392-7889. Provider NPI information was last updated on 11/09/2011.

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Overview of MR. Jeffrey Lee Blake PT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/06/2006
  • Last updated: 11/09/2011

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: PT17676
  • License State: CA

Provider Mailing Address

  • Address: 1714 17th St
    Santa Monica, CA 90404
  • Phone: 310-392-7889
  • Fax: 310-314-4431

Provider Practice Location

  • Address: 1714 17th St
    Santa Monica, CA 90404
  • Phone: 310-392-7889
  • Fax: 310-314-4431

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: PT17676
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: ZZZ05281Z
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: BLUE SHIELD OF CA

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Jeffrey Lee Blake PT?
  • A: The npi number for MR. Jeffrey Lee Blake PT is 1407834781.
  • Q: What are MR. Jeffrey Lee Blake PT's specialties?
  • A: MR. Jeffrey Lee Blake PT's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for MR. Jeffrey Lee Blake PT?
  • A: The medical license number for MR. Jeffrey Lee Blake PT is PT17676 and issued in CA in USA.
  • Q: Where is MR. Jeffrey Lee Blake PT practice location?
  • A: MR. Jeffrey Lee Blake PT is practicing at 1714 17th St, Santa Monica, CA 90404.
  • Q: How to contact MR. Jeffrey Lee Blake PT?
  • A: You can contact MR. Jeffrey Lee Blake PT via 310-392-7889.
Medicare Specialty
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Clinical Pharmacology
Family Medicine
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Sports Medicine
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