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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 03576 (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
Other specialist providers in Xenia
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.