NPI 1053091165

Eddie James Blake, GRADUATE

Practitioner Athletic Trainer Athens, WV

Practice location

Address: 1000 Vermillion St, Athens, WV 24712-9027
Phone: (800) 344-6679

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in West Virginia →

Registry record

NPI: 1053091165
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2023
Record last updated: 24 Jul 2023

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.