Katrina Blake, LMT

NPI 1073471108 · on the registry since 2026

Practice

Address: 1951 Bench Rd Ste E
Pocatello, ID 83201
Phone: (208) 237-2080
Organisation at this address: Dna With Tina Llc
Lily Pad Wellness, Llc
Gate City Physical Therapy
Family Practice Group, P.A.
Family Practice Group, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-01-15

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 Idaho