Individual provider · Type 1 NPI

Blake Eddow, PT

Physical Therapist · Lake Elsinore, CA

NPI number 1740196708 Active

Practice location

31764 Casino Dr
Lake Elsinore, CA 92530-2312

Call (951) 674-9515 Map

Fax (951) 674-9517

Mailing address

1650 Lyndon Farm Ct Ste 300
Louisville, KY 40223-5005

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XNone listed

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 1740196708

Blake Eddow, PT's National Provider Identifier is 1740196708, issued on Aug 20, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Lake Elsinore, CA. The record was last updated on Aug 20, 2026.