Shirley Blake is a Physical Therapist in Bangor, Maine. Shirley Blake practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Shirley Blake is 1326057753. The last update date is 2007-07-08.
Shirley Blake's current location address is 133 Corporate Dr, Bangor, Maine. You can contact this provider via phone number 2079929286 and fax number 2079929287. The mailing address for Shirley Blake is 133 Corporate Dr, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirley Blake |
|---|---|
| Address | 133 Corporate Dr, Bangor, Maine |
| Phone Number | 2079929286 |
| Fax Number | 2079929287 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1326057753 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 133 Corporate Dr |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44014312 |
| Phone Number | 2079929286 |
| Fax Number | 2079929287 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT44 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2294802 | ME | AETNA |
Post Comment/ Review Below
What is the unique identification code assigned to Shirley Blake by the Centers for Medicare & Medicaid Services?
The Shirley Blake has been issued the NPI (National Provider Identifier) 1326057753. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Shirley Blake?
The Shirley Blake is physically situated at 133 Corporate Dr, in the city of Bangor, state of ME, with the postal code 44014312.
What is Shirley Blake's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shirley Blake's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
On what date did the Shirley Blake receive the assignment of its 1326057753 from the Centers for Medicare & Medicaid Services?
The Shirley Blake was issued its 1326057753 by the Centers for Medicare & Medicaid Services on 2006-08-05.
When was the information pertaining to Shirley Blake most recently updated or revised?
The details related to Shirley Blake, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.