Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GREGORY M BLAKELY
ActivePhysical Therapy Assistant · VIENNA, IL
Registration Details
- NPI Number
- 1538663463
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2018 (8.1212384952181 yrs)
- Last Updated
- Mar 23, 2018
- License
-
070.005246 (IL)
Practice Information
- Address
-
811 NORTH 1ST STREETVIENNA, IL, 62995Browse IL providers · Browse ZIP 62995
- Phone
- 6186588144
- Fax
- 6186589146
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in VIENNA, IL
| Name | Credential | NPI |
|---|---|---|
| RACHEL ANN EDMONDS | PT | 1235147216 |
| KIMBERLY DAWN ECKER | PT | 1124036165 |
| JESSICA RENEE MCCOWAN | PT, DPT | 1861721540 |
| MICHAEL BRANTLEY STRICKER | PT, DPT | 1215201322 |
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.