Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blake Keith Staker, DC

Individual provider Chiropractor · NPI 1790791580

Blake Keith Staker, DC is a Chiropractic in Columbia, Pennsylvania. Graduated from Palmer College Chiropractic - Davenport in 2006, 20 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
20
Trained at
Palmer College Chiropractic - Davenport
Licensed in
PA
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

46 S 18th St
Columbia, PA 17512
Phone: (717) 681-0198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC009656 (PA)

Record details

NPI number1790791580
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJuly 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1205 Union Street, Lancaster, PA 17603

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Also practisesDIAGNOSTIC RADIOLOGY, PHYSICAL MEDICINE AND REHABILITATION
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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