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

JENIFER BLANCO

Active Sole Proprietor

JENIFER BLANCO is a Physical Therapy Assistant healthcare provider located in LAS VEGAS, Nevada. NPI 1689037459 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAS VEGAS, NV

Registration Details

NPI Number
1689037459
Provider Type
Individual
Gender
Female
NPI Issued
Mar 30, 2016 (10.409268104746 yrs)
Last Updated
Apr 28, 2021
Licenses
036582 (NY)
4116 (NV)
Sole Proprietor
Yes

Practice Information

Address
3050 E BONANZA RD STE 110B
LAS VEGAS, NV, 891013706
Browse NV providers · Browse ZIP 89101
Phone
7027540606
Fax
7027540605
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LAS VEGAS, NV

Name Credential NPI
MR. MICHAEL D BEEBE PT 1891790119
MR. ALEJANDRO J DELGADO PT 1528065786
TINA LYNN BAUM PT, ATC, CLT 1942207899
MR. THOMAS WILLIAM CHYNOWETH SR. PT 1356333009
MR. BERNE M LEAVITT SR. PT 1457343188
MR. BRYAN JAMES BROCKETT PT 1699767335
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.