Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. DERENI BLAKE BROCK, PT

Active Sole Proprietor

MRS. DERENI BLAKE BROCK, PT is a Physical Therapy Assistant healthcare provider located in LONDON, Kentucky. NPI 1114358702 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LONDON, KY

Registration Details

NPI Number: 1114358702
Provider Type: Individual
Gender: Female
NPI Issued: Dec 6, 2013 (12.674506978009 yrs)
Last Updated: Oct 28, 2019
License: 006310 (KY)
Sole Proprietor: Yes

Practice Information

Address: 195 COMMERCIAL DR

STE 100

LONDON, KY, 407445234
Browse KY providers · Browse ZIP 40744
Phone: 6066572354
Fax: 6066572354
Primary Specialty: Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LONDON, KY

Name	Credential	NPI
MR. H TOM BOWDEN	PT	1457397366
MR. DONALD G MAGUET	PT	1184658080
MR. STEPHEN LAMBERT BARTON	P.T.	1093739229
MR. EDWARD L VALENTINE III	PT	1104928969
MISS TONYA RENEE ESTEP	PT	1952453243
MRS. REBECCA LYNN BOWMAN	—	1790980787

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.