Individual
BLAKE HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR.
Contact information
Practice address
19298 W LAKE HOUSTON PKWY, HUMBLE, TX 77346-4827
(281) 513-4505
Mailing address
19298 W LAKE HOUSTON PKWY # 240, HUMBLE, TX 77346-4827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1373409
TX
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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