JERRY W BLAKELY PT NPI 1891992657

NPI Information

Jerry W Blakely, PT is an orthopedic physical therapist in Coeur D Alene, ID. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Jerry W Blakely, PT NPI is 1891992657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2200 IRONWOOD PL
COEUR D ALENE, ID
ZIP 83814-610
Phone: (208) 667-6486

The enumeration date for this NPI number is 6/27/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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