Stephanie Blake, ATC/LAT
NPI #1144710815 in Walnut Ridge, Arkansas
Provider Information
- NPI Number
- 1144710815
- Entity Type
- Individual
- Name
- Stephanie Blake, ATC/LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC/LAT
- Enumeration Date
- May 17, 2018
- Last Updated
- May 17, 2018
Practice Location
- Address
- 60 W FULBRIGHT ST
- City
- Walnut Ridge
- State
- Arkansas
- ZIP Code
- 72476-9000
- Phone
- (870) 208-5631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| MRS. Misty Dawn Colvey, ATC, LAT | |
| MR. Cody Jones, ATC | |
| MR. Henry Todd Bowden, A.T.C. | |
| MR. Willaim J. Haynes, AT |
Organizations
| Provider Name | |
|---|---|
| Arkansas State University Athletic Training |
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