Mr. Gregory M Blakely
Mr. Gregory M Blakely is a Physical Therapist in Vienna, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
Practice location Address checks out
811 N 1st StVienna, IL 62995
Phone: (618) 658-8144
Fax: (618) 658-9146
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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 070.005246 (IL) |
|---|
Record details
| NPI number | 1538663463 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 23, 2018 |
| Last updated in NPPES | March 23, 2018 |
| Mailing address | 811 North 1st Street, Vienna, IL 62995 |
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