Individual
BLAKE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
225 N LIMESTONE APT B, LEXINGTON, KY 40507-1049
(270) 556-3872
Mailing address
225 N LIMESTONE APT B, LEXINGTON, KY 40507-1049
(270) 556-3872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208897
VA
Other
Enumeration date
08/03/2014
Last updated
12/04/2015
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