Individual ProviderBlake Wesley AllenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address208 Railroad St, Sweetwater, TN 37874-3013(423) 337-7897(423) 238-8907PECOS EnrollmentBased on the most recent information from CMS, provider Blake Wesley Allen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1033519624Provider TypeIndividualFull NameAllen, Blake WesleyCredentialPTGenderMaleSole ProprietorNoEnumeration Date9/2/2014Last Updated9/2/2014Contact InformationPractice LocationPractice Address208 Railroad St, Sweetwater, TN 37874-3013Phone(423) 337-7897Fax(423) 337-7908Mailing LocationMailing Address8823 Production Ln, Ooltewah, TN 37363-6511Phone(423) 238-8907Fax(423) 954-7408Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense10122Tennessee