Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES BLAKE SULLIVAN, DPT
ActiveCHARLES BLAKE SULLIVAN, DPT is a Physical Therapy Assistant healthcare provider located in PADUCAH, Kentucky. NPI 1821562612 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PADUCAH, KY
Registration Details
- NPI Number
- 1821562612
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2019 (7.5334846255081 yrs)
- Last Updated
- Jan 15, 2019
- License
-
007479 (KY)
Practice Information
- Address
-
4645 VILLAGE SQUARE DR STE APADUCAH, KY, 420017448Browse KY providers · Browse ZIP 42001
- Phone
- 2704435712
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PADUCAH, KY
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT WILLIAM CATURANO JR. | PT | 1376540625 |
| MRS. AMY GABRIELLE GRIZZARD | PHYSICAL THERAPIST | 1619974508 |
| TARA R HUTTO | D.P.T. | 1093796062 |
| MRS. LOIS STREGE DOLAN | P.T. | 1245203363 |
| MRS. DANA MARTIN COLLINS | P.T. | 1316910052 |
| CASIE TUCKER | DPT | 1497794994 |
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.