BLAKE COUGHENOUR

WAUKEE, IA
NPI1124874375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  124144)
Enumeration Date2024-04-29
Last Update Date2024-05-28
Business Address
BLAKE COUGHENOUR
128 W HICKMAN RD
WAUKEE, IA 50263-5070
Phone number: 515-309-1819
Mailing Address
BLAKE COUGHENOUR
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number:
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