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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TERRA RUPERT BLATNIK, MD

Active

DR. TERRA RUPERT BLATNIK, MD is a Sports Medicine (Pediatrics) healthcare provider located in SAINT LOUIS, Missouri. NPI 1508066317 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Pediatrics) · SAINT LOUIS, MO

Registration Details

NPI Number
1508066317
Provider Type
Individual
Gender
Female
NPI Issued
Jul 19, 2007 (19.109380017092 yrs)
Last Updated
Oct 9, 2025
License
2015013430 (MO)

Practice Information

Address
4921 PARKVIEW PL
DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A
SAINT LOUIS, MO, 631101032
Browse MO providers · Browse ZIP 63110
Phone
3145143500
Fax
3148787678
Primary Specialty
Sports Medicine (Pediatrics)
2080S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.