Individual
DR. BLAKE DAVID JEFFRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2728 N 108TH ST STE 103, OMAHA, NE 68164-3763
(402) 939-7939
(402) 939-7939
Mailing address
2728 N 108TH ST, STE 103, OMAHA, NE 68164-3763
(402) 939-7939
(402) 939-7940
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
4074
NE
2251X0800X
Orthopedic Physical Therapist
Primary
4074
NE
Other
Enumeration date
08/28/2020
Last updated
09/16/2020
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