Individual
DR. BLAKE ALLEN KLESSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6580 OLD MONROE RD STE A, INDIAN TRAIL, NC 28079-5362
(704) 225-8686
Mailing address
6580 OLD MONROE RD STE A, INDIAN TRAIL, NC 28079-5362
(704) 225-8686
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5134
NC
Other
Enumeration date
01/10/2020
Last updated
03/05/2021
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