MEDICARE: BLAKE FUCHS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHI5207	MA

General Provider Information

NPI Number	:	1689525990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BLAKE FUCHS DC

Provider Business Mailing Address
First Line	:	11 CABOT RD
Second Line	:
City	:	WOBURN
State	:	MA
Zip	:	01801-1003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 CABOT RD
Second Line	:
City	:	WOBURN
State	:	MA
Zip	:	01801-1003
Country	:	US
Telephone Number	:	781-281-0051
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “ BLAKE FUCHS DC” Practice Location

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