Individual provider · Type 1 NPI
Thomas Leon Blake, DC
Chiropractor · Liberty, NC
NPI number
1013075746
Active
Practice location
104 North Greensboro Street
Liberty, NC 27298-3203
Mailing address
3199 Carriage Creek Ct
Haw River, NC 27258-9047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2074 (NC) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1013075746
Thomas Leon Blake, DC's National Provider Identifier is 1013075746, issued on Dec 5, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Liberty, NC. The record was last updated on Aug 24, 2007.