Lisa Blake

Occupational Therapy Assistant · Buffalo, MO

Individual Active NPI

NPI number 1720813835

Practice location

1323 S Ash St
Buffalo, MO 65622-9311
Phone
(417) 345-2222

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NPI record

NPI
1720813835
Entity type
Individual (Type 1)
Enumeration date
September 6, 2024
Last updated
September 6, 2024
Certified
September 6, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 2004016764 MO

Mailing address

65 Weeks Dr
Buffalo, MO 65622-4116
Phone
(417) 619-4640

About Lisa Blake

Lisa Blake is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 1323 S Ash St, Buffalo, MO 65622-9311. The NPI number 1720813835 was assigned on September 6, 2024 and the record was last updated on September 6, 2024.

Lisa Blake lists a license in the registry: #2004016764 (MO) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lisa Blake?

The NPI number is 1720813835.

What is the phone number of Lisa Blake?

The phone number listed for the practice location is (417) 345-2222.

Where is Lisa Blake located?

1323 S Ash St, Buffalo, MO 65622-9311.

What is the taxonomy code for Lisa Blake?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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