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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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