Individual
BLAKE EYSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
769 WAGNER RD, BELLVILLE, OH 44813-8710
(419) 571-7888
Mailing address
769 WAGNER RD, BELLVILLE, OH 44813-8710
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07613
OH
225200000X
Physical Therapy Assistant
2086810
TX
225200000X
Physical Therapy Assistant
9964
CA
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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