Most Relevant Information
Provider Data
| NPI Number: | 1003577198 |
| Provider Name: | BLAKE CHRISTOPHER LOXTERCAMP DC, MS, CSCS |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 6923 |
Most Important Dates
| Enumeration Date: | 01/01/2022 |
| Last Updated: | 01/01/2022 |
Provider Practice Location
11311 DAYTON RIVER RD
DAYTON
MN
553277500
Practice Location Phone/Fax
| Phone: | 6123140268 |
| Fax: |
Provider Mailing Location
474 ARROWHEAD DR
LINO LAKES
MN
550141402
Provider Mailing Phone/Fax
| Phone: | 3203093388 |
| Fax: |