Blake Christopher Loxtercamp, DC, MS, CSCS
Individual provider Active NPI Chiropractor · Dayton, MN
NPI 1003577198 · NPPES record last updated Jan 1, 2022
Key facts
- NPI
- 1003577198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6923 (MN)
- Practice address
- 11311 Dayton River Rd
Dayton, MN 55327-7500 - Phone
- (612) 314-0268
- NPI assigned
- Jan 1, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6923 | MN | Yes |
Addresses
Primary practice location
11311 Dayton River Rd
Dayton, MN 55327-7500
Mailing address
474 Arrowhead Dr
Lino Lakes, MN 55014-1402
Phone (320) 309-3388
Other providers in Dayton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.