Individual provider · Type 1 NPI
Blake Thomas Nogleberg
Rehabilitation Practitioner · Petaluma, CA
NPI number
1962389122
Active
Practice location
1500 Petaluma Blvd S
Petaluma, CA 94952-5545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | None listed |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
62 other providers at this address
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About NPI 1962389122
Blake Thomas Nogleberg's National Provider Identifier is 1962389122, issued on Aug 19, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Petaluma, CA. The record was last updated on Aug 19, 2025.