Provider Demographics
NPI:1023649894
Name:BLANKENSHIP, CELESTE RACHEL (MS, PT)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:RACHEL
Last Name:BLANKENSHIP
Suffix:
Gender:
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:964 HIGH HOUSE RD # 3141
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3574
Mailing Address - Country:US
Mailing Address - Phone:760-766-5655
Mailing Address - Fax:
Practice Address - Street 1:111 JAMES JACKSON AVE STE 101
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3598
Practice Address - Country:US
Practice Address - Phone:919-651-0050
Practice Address - Fax:919-651-0048
Is Sole Proprietor?:No
Enumeration Date:2020-01-30
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA22633225100000X
NCP8158225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist