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BLAKE WHATLEY, DPT, ATC/L, M.ED

DPT, ATC/L, M.ED

Physical Therapist

NPI: 1962823153IndividualAccepts Medicare

Specialties, Licenses & Credentials

Athletic Trainer

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

AT0488(MS)
Physical TherapistPrimary

Physical Therapist

Code: 225100000X

PT5634(MS)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2014

Contact & Hours

Address
450 HIGHWAY 12 W STE D
STARKVILLE, MS 39759

Quick Facts

NPI
1962823153
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
12

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