JERRY BLAKELY II, PT

Physical Therapist - Orthopedic

Active Individual
NPI: 1891992657

Practice Address

2200 IRONWOOD PL
Coeur D Alene, ID 83814

Phone: (208) 667-6486

Specialties

Specialty Code Primary License
Physical Therapist - Orthopedic 2251X0800X Yes -

Frequently Asked Questions

NPI 1891992657 is the National Provider Identifier for JERRY BLAKELY II, PT, a Physical Therapist - Orthopedic provider located in Coeur D Alene, ID. This NPI was enumerated on June 27, 2007.
JERRY BLAKELY II, PT practices at 2200 IRONWOOD PL, Coeur D Alene, ID 83814.

Quick Facts

NPI
1891992657
Type
Individual
Enumerated
Jun 27, 2007
Last Updated
Jul 8, 2007

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