Individual
BLAKE WESLEY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
208 RAILROAD ST, SWEETWATER, TN 37874-3013
(423) 337-7897
(423) 337-7908
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8907
(423) 954-7408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10122
TN
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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