Individual
BLAKE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5899 BREMO RD STE 100A, RICHMOND, VA 23226-1935
(804) 285-2645
Mailing address
5531 HOUNDMASTER RD, MIDLOTHIAN, VA 23112-6520
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305217198
VA
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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