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Blake Broeker, LMT
NPI 1942934674 · on the registry since 2022 · sole proprietor
Practice
- Address
- 8594 E 116th St Apt 250
Fishers, IN 46038 - Phone
- (812) 631-0547
- Organisation at this address
- Sfh1, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-09
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 Indiana