Nathan Blake, PT
Physical Therapist in East Longmeadow, MA. Individual provider (NPI-1).
NPI number1306293147
StatusActive
Last updated in NPPESMay 4, 2017
Details
- NPI
- 1306293147
- Entity type
- Individual (NPI-1)
- Name
- Nathan Blake
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2016
- Last updated
- May 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 22298 | MA | Yes |
Practice location
168 Denslow RdEast Longmeadow, MA 01028-3188
Phone 413-526-9924 · Fax 413-526-9961
Mailing address
790 Remington BlvdBolingbrook, IL 60440-4909
Phone 630-296-2223 · Fax 630-759-9510
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All 38 Physical Therapist providers in East Longmeadow · All 442 providers in East Longmeadow
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