-- DOUGLAS BLAKEY --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1316974611- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 185 W IMBODEN DR, DECATUR, IL, 625215251
- Phone
- (217) 233-1425
- Fax
- (217) 233-1777
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: IL #160000106
All Addresses
MAILING
1340 W CALIFORNIA AVE
DECATUR, IL, 625222716