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

MRS. BLAKE PHILLIPS RUSSELL, MPT

Active

MRS. BLAKE PHILLIPS RUSSELL, MPT is a Physical Therapy Assistant healthcare provider located in PACIFIC GROVE, California. NPI 1316472616 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PACIFIC GROVE, CA

Registration Details

NPI Number
1316472616
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2017 (9.3184580440597 yrs)
Last Updated
Apr 24, 2017
License
29705 (CA)

Practice Information

Address
220 COUNTRY CLUB GATE CTR
SUITE 11
PACIFIC GROVE, CA, 939505014
Browse CA providers · Browse ZIP 93950
Phone
8319179886
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PACIFIC GROVE, CA

Name Credential NPI
AMY DORE D.P.T. 1023040508
TOD MICHAEL STEFFENILLA MPT 1306911847
CHRISTINA A DOYLE PT 1053489047
LUKE DANIEL AROMIN ADAN PT 1730448192
JANELLE BROOKE LEMONS DPT 1376892414
TALLI VAN SUNDER DPT 1881019701
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.