IndividualActive
Alexander Blake
NPI 1215897236 · Athletic Trainer · Indian Head, MD
Provider details
- NPI number
- 1215897236
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7955 Chicamuxen Rd # Rf
Indian Head, MD 20640-4615
Phone: (910) 603-7619
Approximate (ZIP-level) locationGet directions
Mailing address
7955 Chicamuxen Rd # Rf
Indian Head, MD 20640-4615
Registry dates
- Enumerated
- 2025-11-12
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.