BLAKE GERMANN ATC, LAT
NPI 1770032500
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since September 21, 2016
4412 BARNES RD, JACKSONVILLE, FL 32207(904) 739-5212 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blake Germann Atc, Lat NPPES

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

BLAKE GERMANN ATC, LAT (NPI 1770032500) is an individual student in an organized health care education/training program in Jacksonville, Florida, licensed in Florida (AL 3753) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1770032500
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBLAKE GERMANNCredential: ATC, LAT
Location Address4412 BARNES RDJacksonville, FL 32207-7469
Mailing Address3563 Phillips Hwy Ste 502Jacksonville, FL 32207-5663
Sole ProprietorNo
Enumeration DateSeptember 21, 2016
NPI 1770032500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in FL · AL 3753
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4412 BARNES RD, Jacksonville, FL 32207

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
4412 BARNES RD
JACKSONVILLE, FL 32207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770032500, enumerated as an "individual" on September 21, 2016.

The provider is located at 4412 BARNES RD JACKSONVILLE, FL 32207 and the phone number is (904) 739-5212.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.