Individual provider · Type 1 NPI

Dakota Storm Blake, PTA

Physical Therapy Assistant · Fort Edward, NY

NPI number 1417594748 Active

Practice location

319 Broadway
Fort Edward, NY 12828-1221

Mailing address

597 Salmon River Rd
Plattsburgh, NY 12901-7637

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X012276-01 (NY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1417594748

Dakota Storm Blake, PTA's National Provider Identifier is 1417594748, issued on Dec 5, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Edward, NY. The record was last updated on Dec 5, 2019.