Whatley, Blake

Whatley, Blake is an sole proprietor health care provider with primary practice located at 450 Highway 12 W Ste D , Starkville MS 39759-3697. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Whatley, Blake can be contacted via phone (228) 388-5714.

Contact Information

Primary practice address
450 Highway 12 W Ste D Starkville MS 39759-3697
Phone: (228) 388-5714
Fax: (228) 388-0017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT0488 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT5634 Mississippi

Profile Details

NPI number 1962823153
LBN Legal business name Whatley, Blake
Credentials DPT, ATC/L, M.ED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2013
Last updated Aug 26th, 2014 - about 10 years 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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