Logan Chandler Blake, PT, DPT

NPI #1326786187 in Decatur, Alabama

Provider Information

NPI Number: 1326786187
Entity Type: Individual
Name: Logan Chandler Blake, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: May 23, 2022
Last Updated: Dec 2, 2024

Practice Location

Address: 1111 KNIGHT ST SE
City: Decatur
State: Alabama
ZIP Code: 35601-6501
Phone: (256) 973-1552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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