Mr. Trent Alton Blake, PA-C, ATC
Mr. Trent Alton Blake, PA-C, ATC is an Athletic Trainer in Gilbert, Arizona. Licensed in Arizona. Registered with an NPI since 2006.
- Licensed in
- AZ
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
1489 S Higley Rd Ste 101Gilbert, AZ 85296-4776
Phone: (480) 457-8800
Fax: (480) 457-8885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 4298 (AZ) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 0661 (AZ) |
Record details
| NPI number | 1841234010 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C , ATC |
| Sole proprietor | No |
| NPI enumerated | June 16, 2006 |
| Last updated in NPPES | October 24, 2011 |
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