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HomeProvidersBLAKE FALCONELLO DPT

Physical Therapist

BLAKE FALCONELLO DPT

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1104593599 · enumerated 2021-08-24 · record updated 2023-02-01. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Practice location 6542 GOODMAN RD STE 101, OLIVE BRANCH, MS, 38654-5559 (662) 874-5964 Fax (662) 874-5176 Google Maps Apple Maps OpenStreetMap
Mailing address 6542 GOODMAN RD STE 101, OLIVE BRANCH, MS, 38654-5559 (662) 874-5964 Fax (662) 874-5176 Google Maps Apple Maps OpenStreetMap

Specialties

Physical Therapist 225100000X · Primary · License 13705 TN

In this directory

MS DeSoto County Olive Branch Physical Therapist

Locations and evidence

Practice location OLIVE BRANCH, MS, 386545559
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.