Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAUN ROLAND BLAKE, DPT
ActiveSHAUN ROLAND BLAKE, DPT is a Physical Therapy Assistant healthcare provider located in ENCINITAS, California. NPI 1255619490 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ENCINITAS, CA
Registration Details
- NPI Number
- 1255619490
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2011 (15.079087933353 yrs)
- Last Updated
- Jul 21, 2011
- License
-
38074 (CA)
Practice Information
- Address
-
332 SANTA FE DRSTE 120ENCINITAS, CA, 920245143Browse CA providers · Browse ZIP 92024
- Phone
- 7609424400
- Fax
- 7609424450
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ENCINITAS, CA
| Name | Credential | NPI |
|---|---|---|
| KAREN M NORGAARD | PT | 1144281007 |
| KAREN ANN TURNER-SCHLEGEL | DPT | 1902868441 |
| REECE CHRISTIAN JENSEN | P.T. | 1386692622 |
| MRS. PAMELA E. CLOUD | M.P.T. | 1306894696 |
| JENNIFER LYNN SOBAJIAN | P.T. | 1780632034 |
| MS. SUSIE L. CROKE | P.T., C.S.C.S. | 1265480560 |
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.