MRS. Amy Michelle Blake, ATC

NPI #1821200270 in Pomeroy, Ohio

Provider Information

NPI Number
1821200270
Entity Type
Individual
Name
MRS. Amy Michelle Blake, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
May 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
37770 STATE ROUTE 124
State
Ohio
ZIP Code
45769-9302
Phone
(740) 992-0840

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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