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

MR. IAN DAVID BLAKE, PT

Active

Physical Therapy Assistant · TULSA, OK

Registration Details

NPI Number
1124094479
Provider Type
Individual
Gender
Male
NPI Issued
Feb 27, 2006 (20.146179134605 yrs)
Last Updated
Jun 14, 2010
License
PT3742 (OK)

Practice Information

Address
6767 S YALE AVE
SUITE B
TULSA, OK, 741363302
Browse OK providers · Browse ZIP 74136
Phone
9184943000
Fax
9184940003
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in TULSA, OK

Name Credential NPI
MRS. DENA MARIE BRUNK PT 1447254826
MARQUITA RAENELLE TARKINGTON PT 1023017449
JANNA DIANE OGLE PT 1962496216
MARGY GAYLE GILLISPIE PT 1699769240
GAE CAPERS P.T. 1164410320
ANDREW G WARD P.T. 1912995994
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.