Michael Dontae Blakemore, DC
Chiropractor, Rehabilitation in Austin, TX. Individual provider (NPI-1).
NPI number1750185807
StatusActive
Last updated in NPPESApr 1, 2025
Details
- NPI
- 1750185807
- Entity type
- Individual (NPI-1)
- Name
- Michael Dontae Blakemore
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2025
- Certification date
- Apr 1, 2025
- Last updated
- Apr 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | 16263 | TX | Yes |
Practice location
1015 W 39th 1/2 StAustin, TX 78756-4005
Phone 512-377-9042
Mailing address
1015 W 39th 1/2 StAustin, TX 78756-4005
Phone 512-377-9042
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