| Alli Blake, | |
|
9346 Oak Ave, Waconia, MN 55387-9422 | |
| (952) 223-2506 | |
| Not Available |
| Full Name | Alli Blake |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 9346 Oak Ave, Waconia, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376039131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | 092510 (Iowa) | Primary |
| Provider Name | Sunnydays Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891914412 PECOS PAC ID: 5698900314 Enrollment ID: O20131104001388 |
| Mailing Address | Practice Location Address |
|---|---|
| Alli Blake, 3132 Se Magnolia Dr, Ankeny, IA 50021-9586 Ph: (605) 759-3947 | Alli Blake, 9346 Oak Ave, Waconia, MN 55387-9422 Ph: (952) 223-2506 |
Morgan Hobbs, PT, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 Village Way, Waconia, MN 55387 Phone: 952-927-2960 | |
Kelly Marie Borreson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 820 Village Way, Waconia, MN 55387 Phone: 952-927-2960 Fax: 952-930-3304 | |
Dr. Cassandra Woodland, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 Village Way, Waconia, MN 55387 Phone: 952-442-2163 | |
Emily Morgan Elias, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Village Way Ste 100, Waconia, MN 55387 Phone: 952-927-2960 | |
Hayley Anne Accola, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387 Phone: 952-442-2163 | |
Tamara Lynn Larsen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 820 Village Way, Waconia, MN 55387 Phone: 952-927-2960 Fax: 952-927-2961 | |
Scott Anthony Wilkins, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 820 Village Way, Waconia, MN 55387 Phone: 952-442-2160 Fax: 952-442-2961 |