BOAZ BLAKE ATC
NPI 1649576513
Specialist/Technologist - Athletic Trainer in Houston, TX

Q: What is Boaz Blake's NPI number?

The NPI number for Boaz Blake is 1649576513. It was assigned to this individual provider in the NPPES registry on February 9, 2011.

Q: What is Boaz Blake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Boaz Blake was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since February 09, 2011

7502 FONDREN RD, HOUSTON, TX 77074(281) 649-3328 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Boaz Blake Atc NPPES

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

BOAZ BLAKE ATC (NPI 1649576513) is an individual athletic trainer provider in Houston, Texas and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1649576513

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameBOAZ BLAKECredential: ATC

Location Address7502 FONDREN RDHouston, TX 77074-3204

Mailing Address7703 Fondren RdHouston, TX 77074-4607

Phone(281) 649-3328

Sole ProprietorNo

Enumeration DateFebruary 9, 2011

✔ NPI 1649576513 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.

7502 FONDREN RD, Houston, TX 77074

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Other Providers at the Same Location NPPES 10

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

HOUSTON BAPTIST UNIVERSITY

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