Individual provider · Type 1 NPI

Blake Blundred, DPT

Physical Therapist · Fort Worth, TX

NPI number 1184514879 Active

Practice location

8651 John T White Rd Ste 121
Fort Worth, TX 76120-2766

Mailing address

3914 Escoba Dr
Grand Prairie, TX 75052-6826

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X1406802 (TX)

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 1184514879

Blake Blundred, DPT's National Provider Identifier is 1184514879, issued on Jul 7, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 7, 2025.