Individual
BLAKE REIFSTECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 443-5642
Mailing address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070029427
IL
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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