Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE BLAKE, ATC/LAT
Active Sole ProprietorSTEPHANIE BLAKE, ATC/LAT is a Athletic Trainer healthcare provider located in WALNUT RIDGE, Arkansas. NPI 1144710815 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WALNUT RIDGE, AR
Registration Details
- NPI Number
- 1144710815
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2018 (8.060024427557 yrs)
- Last Updated
- May 17, 2018
- License
-
AT701 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
60 W FULBRIGHT STWALNUT RIDGE, AR, 724769000Browse AR providers · Browse ZIP 72476
- Phone
- 8702085631
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WALNUT RIDGE, AR
| Name | Credential | NPI |
|---|---|---|
| MRS. MISTY DAWN COLVEY | ATC, LAT | 1033609995 |
| MR. CODY JONES | ATC | 1922813658 |
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.