Individual
BLAKE CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1922 ERRINGER RD, SIMI VALLEY, CA 93065-3525
(805) 584-0001
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
304714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105549
—
WA
Enumeration date
06/19/2018
Last updated
08/21/2025
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