MR. GREGORY BLAKELY

Physical Therapist

Active Individual
NPI: 1538663463

Practice Address

811 NORTH 1ST STREET
Vienna, IL 62995

Phone: (618) 658-8144

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 070.005246 (IL)

Frequently Asked Questions

NPI 1538663463 is the National Provider Identifier for MR. GREGORY BLAKELY, a Physical Therapist provider located in Vienna, IL. This NPI was enumerated on March 23, 2018.
MR. GREGORY BLAKELY practices at 811 NORTH 1ST STREET, Vienna, IL 62995.

Quick Facts

NPI
1538663463
Type
Individual
Enumerated
Mar 23, 2018
Last Updated
Mar 23, 2018

Nearby Providers