Individual provider · Type 1 NPI

Blake Keith Staker, DC

Chiropractor · Columbia, PA

NPI number 1790791580 Active

Practice location

46 South 18th Street
Columbia, PA 17512

Mailing address

1205 Union Street
Lancaster, PA 17603

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC009656 (PA)

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 1790791580

Blake Keith Staker, DC's National Provider Identifier is 1790791580, issued on Jul 31, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Columbia, PA. The record was last updated on Jul 8, 2007.