KEITH ALLEN BLAKE

KNOXVILLE, TN
NPI1235693110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  6125)
Enumeration Date2019-01-25
Last Update Date2019-01-25
Business Address
KEITH ALLEN BLAKE PTA
1 VETERANS WAY
KNOXVILLE, TN 37931-3161
Phone number: 865-862-8100
Mailing Address
KEITH ALLEN BLAKE PTA
1830 BUFFALO RD
ONEIDA, TN 37841-7403
Phone number:
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