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Stephanie Blake, ATC/LAT
NPI 1144710815 · on the registry since 2018 · sole proprietor
Practice
- Address
- 60 W Fulbright St
Walnut Ridge, AR 72476 - Phone
- (870) 208-5631
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-17
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 Arkansas