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

JAKE BLACKBURN, DPT

Active

JAKE BLACKBURN, DPT is a Physical Therapy Assistant healthcare provider located in CHESTERFIELD, Missouri. NPI 1295611721 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CHESTERFIELD, MO

Registration Details

NPI Number
1295611721
Provider Type
Individual
Gender
Male
NPI Issued
Aug 12, 2025 (1.001352405421 yrs)
Last Updated
Aug 12, 2025
License
2025033478 (MO)

Practice Information

Address
14515 N OUTER 40 RD STE 110
CHESTERFIELD, MO, 630175746
Browse MO providers · Browse ZIP 63017
Phone
3144346060
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in CHESTERFIELD, MO

Name Credential NPI
MEGAN O'MAHONY PT 1235181173
ANGELA RENEE DREXLER 1134172711
ANDREA ADAM MPT 1114966710
MICHAEL J GORMAN PT 1790718930
MS. CHRISTINE L BURRIDGE PT 1144248394
HEATHER MEYER D.P.T. 1932215860
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.