Blake Keith Staker, D.C.

NPI #1790791580 in Columbia, Pennsylvania

Provider Information

NPI Number: 1790791580
Entity Type: Individual
Name: Blake Keith Staker, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jul 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 46 SOUTH 18TH STREET
City: Columbia
State: Pennsylvania
ZIP Code: 17512
Phone: (717) 681-0198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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