Individual provider · Type 1 NPI
Rebecca Blake, DC
Chiropractor · Ballwin, MO
NPI number
1184359770
Active
Practice location
15480 Clayton Rd Ste 301
Ballwin, MO 63011-3172
Mailing address
4 Duddin Ct
Manchester, MO 63021-7025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2021038711 (MO) |
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.
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About NPI 1184359770
Rebecca Blake, DC's National Provider Identifier is 1184359770, issued on Jul 19, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ballwin, MO. The record was last updated on Jul 19, 2022.