NPI 1023907888

Blake Dalferes

Practitioner Athletic Trainer Jefferson, LA

Practice location

Address: 620 Honore Dr, Jefferson, LA 70121-1607
Phone: (985) 285-0675

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 217193 (LA)

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Registry record

NPI: 1023907888
Entity type: Individual
Sex (as registered): X
NPI issued: 28 Jun 2025
Record last updated: 29 May 2026

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.