BLAKE EDWARDS

INDEPENDENCE, MO
NPI1164197406
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MO  2021031365)
Enumeration Date2021-08-10
Last Update Date2021-08-10
Business Address
BLAKE EDWARDS PT, DPT
3801 SELSA RD STE 7
INDEPENDENCE, MO 64057-1712
Phone number: 816-795-0434
Mailing Address
BLAKE EDWARDS PT, DPT
3801 SELSA RD STE 7
INDEPENDENCE, MO 64057-1712
Phone number: