Hampton, Blake Austin

Hampton, Blake Austin is an sole proprietor health care provider with primary practice located at 1825 Rockbridge Rd Ste 15A , Stone Mountain GA 30087-3301. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Hampton, Blake Austin can be contacted via phone (470) 977-2100.

Contact Information

Primary practice address
1825 Rockbridge Rd Ste 15A Stone Mountain GA 30087-3301
Phone: (470) 977-2100
Fax: (470) 977-2101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT012527 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT012527 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT012527 Georgia

Profile Details

NPI number 1699229617
LBN Legal business name Hampton, Blake Austin
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2016
Last updated Mar 7th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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