Search › North Carolina › 225100000X
Blake Queen, PT
NPI 1477920684 · on the registry since 2015
Practice
- Address
- 594 Centennial Dr
Cullowhee, NC 28723 - Phone
- (828) 550-3923
- Fax
- (828) 354-0209
- Organisation at this address
- Custom Nutrition & Wellness Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-14
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 North Carolina