REBECCA BLAKE DC
NPI 1184359770
Chiropractor in Ballwin, MO

Active since July 19, 2022
15480 CLAYTON RD STE 301, BALLWIN, MO 63011(636) 893-5048 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Blake Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA BLAKE DC (NPI 1184359770) is an individual chiropractor in Ballwin, Missouri, licensed in Missouri (2021038711) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1184359770
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameREBECCA BLAKECredential: DC
Location Address15480 CLAYTON RD STE 301Ballwin, MO 63011-3172
Mailing Address4 Duddin CtManchester, MO 63021-7025 · (314) 668-8816
Sole ProprietorYes
Enumeration DateJuly 19, 2022
NPPES CertifiedJuly 19, 2022
NPI 1184359770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MO · 2021038711
Definition
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.
15480 CLAYTON RD STE 301, Ballwin, MO 63011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Blake's NPI number?

The NPI number for Rebecca Blake is 1184359770. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Rebecca Blake located?

Rebecca Blake practices at 15480 Clayton Rd Ste 301, Ballwin, MO 63011. The listed phone number is (636) 893-5048.

What is Rebecca Blake's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Rebecca Blake was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.