Individual
BLAKE MICHAEL MARLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3950 17TH ST STE B, BAKER CITY, OR 97814-1300
(541) 523-8888
(541) 523-8889
Mailing address
3950 17TH ST STE B, BAKER CITY, OR 97814-1300
(541) 523-8888
(541) 523-8889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4182
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228760
—
OR
01
—
P00245147
RAILROAD MEDICARE
OR
Enumeration date
07/12/2006
Last updated
10/25/2007
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