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Mr. Charles Blake, PT
Orthopedic Physical Therapist in Fort Campbell, Kentucky
NPI 1104892637

Charles Blake is a Orthopedic Physical Therapist based in Fort Campbell, KY and is specialized in Orthopedic. Charles Blake practices in Fort Campbell, KY and has the professional credentials of PT. The NPI Number for Charles Blake is 1104892637 and holds a License No. 420820 (Kentucky).

The current practice location address for Charles Blake is Blanchfield Army Community Hospital, Fort Campbell, KY and can be reached out via phone at 270-798-8372 and via fax at 270-956-0180.

Location: Blanchfield Army Community Hospital, Fort Campbell, KY, 42223-5349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104892637
Provider Name
Charles Blake
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
Blanchfield Army Community Hospital, Fort Campbell, KY, 42223-5349
Phone Number
270-798-8372
Fax Number
270-956-0180
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Blanchfield Army Community Hospital
City
Fort Campbell
State
Kentucky
Zip
42223-5349
Phone Number
270-798-8372
Fax Number
270-956-0180
person
Provider Business Mailing Address Details
Address
Blanchfield Army Community Hospital
City
Fort Campbell
State
Kentucky
Zip
42223-5349
Phone Number
270-798-8372
Fax Number
270-956-0180
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
420820 (Tennessee)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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