Individual provider · Type 1 NPI

Stephanie Danielle Blake, DPT

Geriatric Physical Therapist · Andover, KS

NPI number 1003124769 Active

Practice location

621 W 21st St
Andover, KS 67002-8498

Call (316) 733-1349 Map

Mailing address

4141 Danbury St
Bel Aire, KS 67220-1933

Specialties and licenses

TaxonomyCodeLicense
Geriatric Physical Therapist Primary 2251G0304X11-04112 (KS)

Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…

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About NPI 1003124769

Stephanie Danielle Blake, DPT's National Provider Identifier is 1003124769, issued on Sep 15, 2010. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Andover, KS. The record was last updated on Sep 15, 2010.