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

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2021038711 (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.