Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE WILLIAM SIERSEMA, PT, DPT
ActiveBLAKE WILLIAM SIERSEMA, PT, DPT is a Physical Therapy Assistant healthcare provider located in SIMPSONVILLE, South Carolina. NPI 1588361992 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SIMPSONVILLE, SC
Registration Details
- NPI Number
- 1588361992
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2023 (3.5203318883412 yrs)
- Last Updated
- Feb 15, 2023
- License
-
11728 (SC)
Practice Information
- Address
-
719 SE MAIN ST STE BSIMPSONVILLE, SC, 296813237Browse SC providers · Browse ZIP 29681
- Phone
- 8642335128
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SIMPSONVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD T. JELETIC | MPT | 1982607214 |
| ANN S PERKINS | PT | 1871560250 |
| MR. MARTIN K HEDRICK | MPT | 1952368631 |
| JAMES JOSEPH BRUDER | PT | 1770533762 |
| JEFFREY S DOW | PT | 1952352890 |
| CAROLINE ZACHARIAS CHEEK | MSPT | 1538111711 |
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.