Individual
DR. BLAKE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT, MS,ATC, LAT
Contact information
Practice address
2800 S FLOYD ST, LOUISVILLE, KY 40292-1818
(502) 852-8778
(502) 852-7123
Mailing address
2800 S FLOYD ST, LOUISVILLE, KY 40292-1818
(502) 852-8778
(502) 852-7123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005461
KY
2255A2300X
Athletic Trainer
AT818
KY
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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