Dr. Stephanie Danielle Blake
Physical Therapist - Geriatrics
621 W 21st St
Andover
, Kansas 67002-8498
Dr. Stephanie Danielle Blake
Physical Therapist - Geriatrics
621 W 21st St
Andover
, Kansas 67002-8498
(316) 744-2773
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Dr. Stephanie Danielle Blake
- 4141 Danbury St
- Bel Aire, KS
- Zip : 67220-1933
- Phone : (316) 744-2773
Second Address
- Dr. Stephanie Danielle Blake
- 621 W 21st St
- Andover, KS
- Zip : 67002-8498
- Phone : (316) 733-1349
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | 11-04112 | KS |
National Provider Identifier
| NPI | 1003124769 |
|---|---|
| Provider Name | Dr. Stephanie Danielle Blake |
| First Address | Bel Aire, KS 67220-1933 |
| Second Address | Andover, KS 67002-8498 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2010 |
| Last Update Date | 15/09/2010 |
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.