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

Blake Pollema, ATC

Individual provider Athletic Trainer · NPI 1669872594

Blake Pollema, ATC is an Athletic Trainer in Pueblo, Colorado. Licensed in North Dakota. Registered with an NPI since 2014.

Licensed in
ND
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1337 Gray Wolf Cir
Pueblo, CO 81001-4932
Phone: (320) 241-2514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000017573 (ND)

Record details

NPI number1669872594
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedAugust 28, 2014
Last updated in NPPESAugust 7, 2019
Mailing address34382 County Road 89, Browerville, MN 56438

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