Michael Jack Blake, DPT

NPI #1295560100 in Castle Rock, Colorado

Provider Information

NPI Number
1295560100
Entity Type
Individual
Name
Michael Jack Blake, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Sep 3, 2024
Last Updated
Aug 5, 2025

Practice Location

Address
390 S WILCOX ST STE B
ZIP Code
80104-1951
Phone
(303) 839-8068

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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