Individual provider · Type 1 NPI

Blake Jordan Falconello, DPT

Physical Therapist · Olive Branch, MS

NPI number 1104593599 Active

Practice location

6542 Goodman Rd Ste 101
Olive Branch, MS 38654-5559

Fax (662) 874-5176

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X13705 (TN)

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 1104593599

Blake Jordan Falconello, DPT's National Provider Identifier is 1104593599, issued on Aug 24, 2021. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Olive Branch, MS. The record was last updated on Feb 1, 2023.