Search › Illinois › 2255A2300X
Samantha Blazek, LAT, ATC
NPI 1306699608 · on the registry since 2024 · sole proprietor
Practice
- Address
- Po Box 141
Malta, IL 60150 - Phone
- (815) 501-2900
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-08
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 Illinois