Provider Demographics
NPI:1679041156
Name:BLEVINS, JAMIE LEA-ARNOLD (PT, DPT)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEA-ARNOLD
Last Name:BLEVINS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 COMMERCIAL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40744-5234
Mailing Address - Country:US
Mailing Address - Phone:606-657-5111
Mailing Address - Fax:606-657-2354
Practice Address - Street 1:195 COMMERCIAL DR STE 100
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40744-5234
Practice Address - Country:US
Practice Address - Phone:606-657-5111
Practice Address - Fax:606-657-2354
Is Sole Proprietor?:No
Enumeration Date:2018-11-02
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007539225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist