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Blake Hines, ATC, NASM-PES, MA
NPI 1821486218 · on the registry since 2015 · sole proprietor
Practice
- Address
- 214 Meadowlands Dr
Brandon, MS 39047 - Phone
- (601) 760-2139
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-07
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 Mississippi