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

Eddie James Blake, GRADUATE

Individual provider Athletic Trainer · NPI 1053091165

Eddie James Blake, GRADUATE is an Athletic Trainer in Athens, West Virginia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1000 Vermillion St
Athens, WV 24712-9027
Phone: (800) 344-6679
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1053091165
Entity typeIndividual (Type 1)
GenderMale
Credentials GRADUATE
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 23, 2023

Other providers in Athens