NPI 1003124769

Stephanie Danielle Blake, DPT

Practitioner Geriatric Physical Therapist Andover, KS

Practice location

Address: 621 W 21st St, Andover, KS 67002-8498
Phone: (316) 733-1349
Mailing address: 4141 Danbury St, Bel Aire, KS 67220-1933

Registered specialties

Geriatric Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251G0304X Licence 11-04112 (KS)

Other Physical Therapist providers in Kansas →

Registry record

NPI: 1003124769
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2010
Record last updated: 15 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.