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

MR. BLAKE WHATLEY, DPT, ATC/L, M.ED

Active Sole Proprietor

MR. BLAKE WHATLEY, DPT, ATC/L, M.ED is a Physical Therapy Assistant healthcare provider located in STARKVILLE, Mississippi. NPI 1962823153 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · STARKVILLE, MS

Registration Details

NPI Number
1962823153
Provider Type
Individual
Gender
Male
NPI Issued
Dec 15, 2013 (12.659794902116 yrs)
Last Updated
Aug 26, 2025
Licenses
AT0488 (MS)
PT5634 (MS)
Sole Proprietor
Yes

Practice Information

Address
450 HIGHWAY 12 W STE D
STARKVILLE, MS, 397593697
Browse MS providers · Browse ZIP 39759
Phone
2283885714
Fax
2283880017
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in STARKVILLE, MS

Name Credential NPI
MRS. KAREN ELIZABETH ROBERSON RPT 1184836496
WILLIAM H MARTIN PT 1942439252
PAUL A KOSKO PT 1871722173
DANIEL F DONNELLY PT 1487973731
DR. MARY MARGARET CROWSON PT, DPT 1033407044
SARAH ELIZABETH HARTLEY D.P.T. 1265703805
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.