NPI Profile for JERRY W BLAKELY II in COEUR D'ALENE, ID.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthopedic |
2251X0800X | 65 | Physical Therapist in Private Practice |
| NPI # | 1891992657 |
|
| Status | Active | |
| Credentials | PT (Physical Therapist) | |
| Entity | Individual | |
| Enumeration date | 06/27/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JERRY W BLAKELY II
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