Healthcare Provider Details

I. General information

NPI: 1528988805
Provider Name (Legal Business Name): BLAKE WILLIAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 S BISHOP AVE STE B
ROLLA MO
65401-4320
US

IV. Provider business mailing address

2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US

V. Phone/Fax

Practice location:
  • Phone: 573-202-6537
  • Fax: 573-426-7001
Mailing address:
  • Phone: 630-575-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2026034853
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: