Organization
BLAKE DIRCKSEN DPT PT PLLC
Active
Parent organization
BLAKE DIRCKSEN DPT PT PLLC
Other names
Backroads Endurance Company
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLAKE DIRCKSEN DPT PT PLLC
Authorized official
MISS BLAKE DIRCKSEN DPT (OWNER)
(317) 385-8525
Entity
Organization
Contact information
Practice address
348 S 6TH ST, NOBLESVILLE, IN 46060-2519
(317) 385-8525
Mailing address
348 S 6TH ST, NOBLESVILLE, IN 46060-2519
(317) 385-8525
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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