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STEPHANIE BLAKE ATC/LAT
NPI 1144710815
Specialist/Technologist - Athletic Trainer in Walnut Ridge, AR

Active since May 17, 2018
60 W FULBRIGHT ST, WALNUT RIDGE, AR 72476(870) 208-5631 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Blake Atc/lat NPPES

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

STEPHANIE BLAKE ATC/LAT (NPI 1144710815) is an individual athletic trainer provider in Walnut Ridge, Arkansas, licensed in Arkansas (AT701) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1144710815
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSTEPHANIE BLAKECredential: ATC/LAT
Location Address60 W FULBRIGHT STWalnut Ridge, AR 72476-9000
Mailing Address211 Fairgrounds RdHarrisburg, AR 72432-1306
Phone(870) 208-5631
Sole ProprietorYes
Enumeration DateMay 17, 2018
✔ NPI 1144710815 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
License✔ Licensed in AR · AT701
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.
60 W FULBRIGHT ST, Walnut Ridge, AR 72476
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Stephanie Blake's NPI number?

The NPI number for Stephanie Blake is 1144710815. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Stephanie Blake located?

Stephanie Blake practices at 60 W Fulbright St, Walnut Ridge, AR 72476. The listed phone number is (870) 208-5631.

What is Stephanie 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 Stephanie Blake was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.