Individual
BLAKE S POLEDNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 MARKETPLACE PLZ STE 200, STEAMBOAT SPRINGS, CO 80487-1841
(970) 879-6663
Mailing address
705 MARKETPLACE PLZ STE 200, STEAMBOAT SPRINGS, CO 80487-1841
(970) 879-6663
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0002832
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/25/2022
Last updated
09/04/2025
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