Individual
BLAKE A MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1221 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1011
(504) 624-7637
Mailing address
6173 CANAL BLVD, NEW ORLEANS, LA 70124-3046
(504) 624-7637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
350301
LA
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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