Dr. Blake David Jeffres
Physical Therapist - Sports Physical Therapist - Orthopedic
2728 N 108th St Ste 103
Omaha
, Nebraska 68164-3763
Dr. Blake David Jeffres
Physical Therapist - Sports Physical Therapist - Orthopedic
2728 N 108th St Ste 103
Omaha
, Nebraska 68164-3763
(402) 939-7940
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About
Features
Specialties
- Physical Therapist - Sports
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Dr. Blake David Jeffres
- 2728 N 108th St Ste 103
- Omaha, NE
- Zip : 68164-3763
- Fax : (402) 939-7940
- Phone : (402) 939-7939
Second Address
- Dr. Blake David Jeffres
- 2728 N 108th St Ste 103
- Omaha, NE
- Zip : 68164-3763
- Fax : (402) 939-7939
- Phone : (402) 939-7939
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251S0007X | Physical Therapist - Sports | 4074 | NE |
| Y | 2251X0800X | Physical Therapist - Orthopedic | 4074 | NE |
National Provider Identifier
| NPI | 1427661495 |
|---|---|
| Provider Name | Dr. Blake David Jeffres |
| First Address | Omaha, NE 68164-3763 |
| Second Address | Omaha, NE 68164-3763 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2020 |
| Last Update Date | 16/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.