Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY LEE BLAKE, PT
ActivePhysical Therapy Assistant · SANTA MONICA, CA
Registration Details
- NPI Number
- 1407834781
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2006 (20.352627789888 yrs)
- Last Updated
- Nov 9, 2011
- License
-
PT17676 (CA)
Practice Information
- Address
-
1714 17TH STSANTA MONICA, CA, 904044410Browse CA providers · Browse ZIP 90404
- Phone
- 3103927889
- Fax
- 3103144431
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SANTA MONICA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. JOYCE NISHIMOTO WILKINSON | PT | 1053395095 |
| MR. JOHN LOO JOE | PT | 1386622686 |
| JOHN DRAVILLAS | PT, MTC | 1386613750 |
| ALISON HANSON | PT | 1386613677 |
| MICHAEL ALLAN ANDERSEN | D.P.T. | 1013979434 |
| GAIL E WEHNER | PT | 1457314791 |
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.