Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODIE MEGAN BLAKE, PT
ActiveJODIE MEGAN BLAKE, PT is a Physical Therapy Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1154644136 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1154644136
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2010 (16.445250129163 yrs)
- Last Updated
- Aug 3, 2010
- License
-
5501011217 (MI)
Practice Information
- Address
-
4069 LAKE DR SESUITE 114GRAND RAPIDS, MI, 495468816Browse MI providers · Browse ZIP 49546
- Phone
- 6167268365
- Fax
- 6167268364
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. ANNE MARIE PALMITIER | P.T. | 1962409086 |
| MR. JEROME DANIEL BRODERICK | P.T. | 1881691962 |
| PAMELA SUE ALBRECHT | MSPT | 1780678482 |
| MR. PEARCE JACOB VANDER MEEDEN | PT | 1013908649 |
| TREY J KUBIZNA | D.P.T. | 1265411565 |
| MR. MATTHEW MCPHERSON | P.T. | 1871573436 |
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.