Tina Blake, LMFT

NPI 1760687453 · on the registry since 2007 · sole proprietor

Practice

Address: 1024 Centre Ave Bldg E
Suite 200
Fort Collins, CO 80526
Phone: (970) 224-2080
Organisation at this address: Deyoung Family Medicine Llc
Proactive Physical Therapy And Exercise Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-01-28

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 Colorado