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

BLAKE KEITH MCDONALD, PT, DPT

Active Sole Proprietor

Physical Medicine & Rehabilitation · BUCKEYE, AZ

Registration Details

NPI Number
1306336391
Provider Type
Individual
Gender
Male
NPI Issued
May 15, 2018 (7.9776616845243 yrs)
Last Updated
May 15, 2018
License
LPT-30012 (AZ)
Sole Proprietor
Yes

Practice Information

Address
23374 W YUMA RD STE 104
BUCKEYE, AZ, 853263120
Browse AZ providers · Browse ZIP 85326
Phone
6232426908
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in BUCKEYE, AZ

Name Credential NPI
LINDSEY JO CLAPP PTA 1568026763
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.