Individual provider · Type 1 NPI

Jodie Megan Blake, PT

Physical Therapist · Grand Rapids, MI

NPI number 1154644136 Active

Practice location

4069 Lake Dr SE, Suite 114
Grand Rapids, MI 49546-8816

Call (616) 726-8365 Map

Fax (616) 726-8364

Mailing address

4085 Burton St SE, Suite 200
Grand Rapids, MI 49546-2444

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X5501011217 (MI)

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 1154644136

Jodie Megan Blake, PT's National Provider Identifier is 1154644136, issued on Mar 5, 2010. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 3, 2010.