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

BLAKE GRAHAM

Active

BLAKE GRAHAM is a Physical Therapy Assistant healthcare provider located in EDMOND, Oklahoma. NPI 1376273557 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · EDMOND, OK

Registration Details

NPI Number
1376273557
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2022 (4.1777189749245 yrs)
Last Updated
Jun 12, 2022
License
6164 (OK)

Practice Information

Address
16502 N PENNSYLVANIA AVE STE C
EDMOND, OK, 730129126
Browse OK providers · Browse ZIP 73012
Phone
4052859659
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in EDMOND, OK

Name Credential NPI
MR. JOE A STREICH P.T. 1780676452
CHARA M RENSHAW PT 1760476204
MR. RUSSELL J. CASE PT 1780667261
MR. TYLER EMERSON POMEROY MSPT, OCS, FAAOMPT 1225016728
MR. MICHAEL SHANE SIMS MPT, OCS, FAAOMPT 1528046596
BRADLEY JAMES SCHULTZ PT 1558321547
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.