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Jerry Blakely, PT
NPI 1891992657 · on the registry since 2007
Practice
- Address
- 2200 Ironwood Pl
Coeur D Alene, ID 83814 - Phone
- (208) 667-6486
- Organisation at this address
- Ivy Court - Coeur D'Alene, Llc
Ivy Court - Coeur D'Alene, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Registry record
- Primary taxonomy
- Orthopedic Physical Therapist
2251X0800X
- Sex
- Male
- Record last updated
- 2007-07-08
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 Idaho