Tyler Matthew Blake, PT, DPT
Physical Therapist in Sandy Springs, GA. Individual provider (NPI-1).
NPI number1730026303
StatusActive
Last updated in NPPESMay 1, 2026
Details
- NPI
- 1730026303
- Entity type
- Individual (NPI-1)
- Name
- Tyler Matthew Blake
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2026
- Certification date
- May 1, 2026
- Last updated
- May 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT016952 | GA | Yes |
Practice location
6667 Vernon Woods Dr Ste A14Sandy Springs, GA 30328-3236
Phone 404-425-9494 · Fax 404-549-2877
Mailing address
205 12th St Ne Apt 1703Atlanta, GA 30309-4763
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