BLAKE MATTHEW ELLIS

BLOOMINGTON, IN
NPI1366373532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05016484A)
Enumeration Date2026-05-27
Last Update Date2026-08-24
Business Address
BLAKE MATTHEW ELLIS
1155 S COLLEGE MALL RD STE A
BLOOMINGTON, IN 47401-6166
Phone number: 812-558-3356
Mailing Address
BLAKE MATTHEW ELLIS
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 803-812-3656
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