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Blake Davis
NPI 1003414194 · on the registry since 2020
Practice
- Address
- 2208 W Detroit St
Broken Arrow, OK 74012 - Phone
- (918) 900-6237
- Organisation at this address
- Seabreeze Therapy Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma