Blake Edward Stoutenburg
Blake Edward Stoutenburg is a Physical Therapist in Los Angeles, California. Licensed in California and Utah. Registered with an NPI since 2024.
- Licensed in
- CA, UT
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
580 S San Vicente BlvdLos Angeles, CA 90048-4621
Phone: (323) 782-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 3043172-2401 (UT) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 308213 (CA) |
Record details
| NPI number | 1831918465 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 9, 2024 |
| Last updated in NPPES | October 20, 2025 |
| Certification date | October 20, 2025 |
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