Blake Coughenour

NPI #1124874375 in Waukee, Iowa

Provider Information

NPI Number: 1124874375
Entity Type: Individual
Name: Blake Coughenour
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 29, 2024
Last Updated: May 28, 2024

Practice Location

Address: 128 W HICKMAN RD
City: Waukee
State: Iowa
ZIP Code: 50263-5070
Phone: (515) 309-1819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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