Blake Coughenour

NPI 1124874375 · on the registry since 2024

Practice

Address: 128 W Hickman Rd
Waukee, IA 50263
Phone: (515) 309-1819
Organisation at this address: Athletico Ltd
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: IA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-05-28

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 Iowa