Organization
JESSICA SMITH-BLOCKLEY, LLC
Active
Other names
Ascend Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SMITH-BLOCKLEY PT (OWNER)
(208) 484-3819
Entity
Organization
Contact information
Practice address
131 NW HAWTHORNE AVE STE 103, BEND, OR 97703-2957
(458) 206-0862
(541) 241-7576
Mailing address
131 NW HAWTHORNE AVE STE 103, BEND, OR 97703-2957
(458) 206-0862
(541) 241-7576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06497
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9183085
DRIVERS LICENSE
OR
Enumeration date
07/14/2017
Last updated
07/21/2022
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