Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAINE HAWKES
ActiveBLAINE HAWKES is a Physical Therapy Assistant healthcare provider located in SHOSHONE, Idaho. NPI 1700135340 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SHOSHONE, ID
Registration Details
- NPI Number
- 1700135340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2012 (13.9356813219 yrs)
- Last Updated
- Oct 2, 2019
- License
-
8394301-8016 (UT)
Practice Information
- Address
-
50 S HIGHWAY 93SHOSHONE, ID, 833525337Browse ID providers · Browse ZIP 83352
- Phone
- 8019423311
- Fax
- 8014955303
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SHOSHONE, ID
| Name | Credential | NPI |
|---|---|---|
| MS. MARTHA MARY CLEMENTS | PT | 1861710659 |
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.