Individual
AMANDA BALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, PA-C
Contact information
Practice address
5000 CEDAR PLAZA PKWY STE 300, SAINT LOUIS, MO 63128-3891
(636) 282-0380
Mailing address
5000 CEDAR PLAZA PKWY STE 300, SAINT LOUIS, MO 63128-3891
(636) 282-0380
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
02/11/2026
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