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EDDIE JAMES BLAKE GRADUATE
NPI 1053091165
Specialist/Technologist - Athletic Trainer in Athens, WV

Active since July 24, 2023
1000 VERMILLION ST, ATHENS, WV 24712(800) 344-6679 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eddie James Blake Graduate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDIE JAMES BLAKE GRADUATE (NPI 1053091165) is an individual athletic trainer provider in Athens, West Virginia and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1053091165
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameEDDIE JAMES BLAKECredential: GRADUATE
Location Address1000 VERMILLION STAthens, WV 24712-9027
Mailing Address1000 Vermillion StAthens, WV 24712-9027 · (800) 344-6679
Phone(800) 344-6679
Sole ProprietorNo
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 23, 2023
✔ NPI 1053091165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1000 VERMILLION ST, Athens, WV 24712
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENT ALEXANDER ROARK ATC
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 384-6320
STATE OF WEST VIRGINIA CONCORD UNIVERSITY
Clinic/Center (Student Health)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 384-7325
KATELYN GOLINSKY
Student in an Organized Health Care Education/Training Program
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 322-6264
HUNTER ALEXANDRIA BAILEY
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 710-9849
JENNIFER LAUREN SICINSKI
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 384-6239
JESSE LILLY
Student in an Organized Health Care Education/Training Program
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 322-6264
IMANI T RODGERS
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (757) 232-7232
BRITTANY NICOLE DOMINGO MA, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST, BOX C688
ATHENS, WV 24712
Mercer County (681) 422-9113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddie Blake's NPI number?

The NPI number for Eddie Blake is 1053091165. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Eddie Blake located?

Eddie Blake practices at 1000 Vermillion St, Athens, WV 24712. The listed phone number is (800) 344-6679.

What is Eddie Blake's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Eddie Blake was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.