Individual
MR. PATRICK GRAYSON BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7240 KINGSTON PIKE, KNOXVILLE, TN 37919-5678
(865) 314-6448
Mailing address
7240 KINGSTON PIKE STE 160, KNOXVILLE, TN 37919-5615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14423
TN
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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