Individual
BLAKE AUSTIN HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1825 ROCKBRIDGE RD STE 15A, STONE MOUNTAIN, GA 30087-3301
(470) 977-2100
(470) 977-2101
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012527
GA
2251S0007X
Sports Physical Therapist
PT012527
GA
2251X0800X
Orthopedic Physical Therapist
PT012527
GA
Other
Enumeration date
08/08/2016
Last updated
03/07/2024
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