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

Blake Kittredge, PT

Individual provider Physical Therapist · NPI 1518730084

Blake Kittredge, PT is a Physical Therapist in Elkhorn, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

N6359 US Highway 12
Elkhorn, WI 53121-3955
Phone: (262) 723-2700
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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 17638-24 (WI)

Record details

NPI number1518730084
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 6, 2023
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address11178 W Appleton Ave, Milwaukee, WI 53225-1213

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