BLAKE A TERRY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007052

License Status

ACTIVE

Business

First Name

BLAKE

Middle

Last Name

TERRY

Business Name

BLAKE A TERRY

Original Issue Date

11/26/2014

Effective Date

09/28/2025

Expiration Date

09/30/2027

City

TAMAROA

State

Zip

62888

County

PERRY

Ever Disciplined

LastModifiedDate

09/28/2025