Maxon Sloane Blow, LAT, ATC, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL7569 Issued in FL

Practice address

111 Lake Hollingsworth Dr
Lakeland, FL 33801-5607

Phone

(863) 680-4267

Fax

(863) 680-4122

NPI assigned

Aug 15, 2025

Last updated

Aug 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1215813035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LAKE HOLLINGSWORTH DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015607",
            "telephone_number": "863-680-4267",
            "fax_number": "863-680-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LAKE HOLLINGSWORTH DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015607",
            "telephone_number": "863-680-4267",
            "fax_number": "863-680-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOW",
        "first_name": "MAXON",
        "middle_name": "SLOANE",
        "credential": "LAT, ATC, CES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL7569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BLM Lakeland Inc (H & H Transport)
• Brenda Blockus, MS
• Bloom Counseling LLC
• Madison Bloom, BS
• Benroe W Blount, M.D.
• Tahnin Anthony Bluangtook
• Blue Leaf Therapy
• Bluebyrd Wound and Lymphatic Care and Consultation Services LLC
• Bobbie Dashercare LLC
• Charity Elizabeth Bobo

• Athletic Trainer in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.