Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alli Blake

Individual provider Pediatric Physical Therapist · NPI 1376039131

Alli Blake is a Pediatric Physical Therapist in Waconia, Minnesota. Licensed in Iowa. Registered with an NPI since 2018.

Licensed in
IA
In the registry since
2018

Practice location Address checks out

9346 Oak Ave
Waconia, MN 55387-9422
Phone: (952) 223-2506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 092510 (IA)

Record details

NPI number1376039131
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 5, 2018
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing address3132 Se Magnolia Dr, Ankeny, IA 50021-9586

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