IndividualActive
Terra Blatnik, MD
NPI 1508066317 · Pediatric Sports Medicine Physician · Saint Louis, MO
Provider details
- NPI number
- 1508066317
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2015013430 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4921 Parkview Pl
Dept Orthopaedic Surgery, Ste 6a/6b/12a
Saint Louis, MO 63110-1032
Phone: (314) 514-3500
Fax: (314) 878-7678
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2007-07-19
- Last updated
- 2025-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.