Individual provider · Type 1 NPI

Terra Rupert Blatnik, MD

Pediatric Sports Medicine Physician · St. Louis, MO

NPI number 1508066317 Active

Practice location

4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6A/6B/12A
St. Louis, MO 63110-1032

Call (314) 514-3500 Map

Fax (314) 878-7678

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Pediatric Sports Medicine Physician Primary 2080S0010X2015013430 (MO)

Pediatric Sports Medicine Physician: A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology,…

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About NPI 1508066317

Terra Rupert Blatnik, MD's National Provider Identifier is 1508066317, issued on Jul 19, 2007. The primary taxonomy on file is Pediatric Sports Medicine Physician (2080S0010X), and the practice location is in St. Louis, MO. The record was last updated on Oct 9, 2025.