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

JONATHAN BLAISE

Active Sole Proprietor

JONATHAN BLAISE is a Occupational Therapist healthcare provider located in JOHNSON CITY, Tennessee. NPI 1508594912 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · JOHNSON CITY, TN

Registration Details

NPI Number
1508594912
Provider Type
Individual
Gender
Male
NPI Issued
Aug 12, 2022 (4.0357299096774 yrs)
Last Updated
Aug 12, 2022
License
8222 (TN)
Sole Proprietor
Yes

Practice Information

Address
400 N BOONE ST
JOHNSON CITY, TN, 37604
Browse TN providers · Browse ZIP 37604
Phone
4239292900
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in JOHNSON CITY, TN

Name Credential NPI
PAULA A HARMON-GALLIMORE PTA 1831183078
DAVID HOWARD DOAK PTA 1124123393
ALANA MARY FUHR PTA 1720185424
MR. WESLEY ERIC DEBORD PTA 1427171669
RANDALL SCOTT TAYLOR PTA 1356508824
MR. ERIK CHRISTIAN MCDONALD PTA 1669630125
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.