Charles Blake Sullivan DPT

  • NPI 1821562612
According to our database, the NPI number for Charles Blake Sullivan DPT is 1821562612 and activated since 5 years ago. Charles Blake Sullivan DPT is an individual provider who specializes in Physical Therapist, and the primary practice location is 4645 Village Square Dr Ste A, Paducah, KY 42001. You can also contact Charles Blake Sullivan DPT via telephone number is (270) 443-5712. Provider NPI information was last updated on 01/15/2019.

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Overview of Charles Blake Sullivan DPT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/15/2019
  • Last updated: 01/15/2019

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 007479
  • License State: KY

Provider Mailing Address

  • Address: 2255 Owens Chapel Rd
    Melber, KY 42069
  • Phone: 270-703-4992
  • Fax:

Provider Practice Location

  • Address: 4645 Village Square Dr Ste A
    Paducah, KY 42001
  • Phone: 270-443-5712
  • Fax:

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 007479
  • License State: KY
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Charles Blake Sullivan DPT?
  • A: The npi number for Charles Blake Sullivan DPT is 1821562612.
  • Q: What are Charles Blake Sullivan DPT's specialties?
  • A: Charles Blake Sullivan DPT's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for Charles Blake Sullivan DPT?
  • A: The medical license number for Charles Blake Sullivan DPT is 007479 and issued in KY in USA.
  • Q: Where is Charles Blake Sullivan DPT practice location?
  • A: Charles Blake Sullivan DPT is practicing at 4645 Village Square Dr Ste A, Paducah, KY 42001.
  • Q: How to contact Charles Blake Sullivan DPT?
  • A: You can contact Charles Blake Sullivan DPT via 270-443-5712.
Medicare Specialty
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