Individual
ADAM JAMES BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
75 N 2260 W, HURRICANE, UT 84737-2034
(435) 635-6480
Mailing address
652 S MEDICAL CENTER DRIVE #LL-10, ST GEORGE, UT 84790
(435) 251-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9809578-8016
UT
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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