Individual provider · Type 1 NPI

Blake Whitaker, DPT

Physical Therapist · Coon Rapids, MN

NPI number 1093638975 Active

Practice location

2104 Northdale Blvd NW Ste 100
Coon Rapids, MN 55433-3045

Call (763) 755-5495 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X14375 (MN)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1093638975

Blake Whitaker, DPT's National Provider Identifier is 1093638975, issued on Jul 30, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Coon Rapids, MN. The record was last updated on Jul 30, 2026.