Individual provider · Type 1 NPI

Blake Potter

Specialist · Xenia, OH

NPI number 1275496796 Active

Practice location

492 W 2nd St Ste 102
Xenia, OH 45385-3770

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X03576 (OH)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 other providers at this address

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About NPI 1275496796

Blake Potter's National Provider Identifier is 1275496796, issued on Dec 3, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Xenia, OH. The record was last updated on Dec 3, 2025.