License holder summary

Blake , Keith Allen is a Department Of Health - Physical Therapist Assistant licensed to practice in Tennessee. This medical licensee license is current. The license was granted 08/17/2015 and expired on 07/31/2017.

Department of Health

Board of Medical Examiners

Blake , Keith Allen
Department Of Health - Physical Therapist Assistant
License number
6125
Date granted
08/17/2015
Date expires
07/31/2017
Class
Department Of Health - Physical Therapist Assistant
Status
Licensed
Address
medicaltn.com
ID 42328873
LAST UPDATED 2024-04-09 18:12:03 UTC

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