Individual provider · Type 1 NPI

Austin Blake, PhD

Student in an Organized Health Care Education/Training Program · Aurora, CO

NPI number 1053176883 Active

Practice location

13123 E 16th Ave
Aurora, CO 80045-7106

Mailing address

4540 Bryant St
Denver, CO 80211-1457

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053176883

Austin Blake, PhD's National Provider Identifier is 1053176883, issued on Feb 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Aurora, CO. The record was last updated on Aug 22, 2025.