Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN BLANKESPOOR, PT, DPT
ActiveDR. ETHAN BLANKESPOOR, PT, DPT is a Physical Therapy Assistant healthcare provider located in BLOOMINGTON, Minnesota. NPI 1992231732 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1992231732
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2017 (9.2177568351152 yrs)
- Last Updated
- Mar 5, 2020
- Licenses
-
1974 (SD)11163 (MN)
Practice Information
- Address
-
3800 AMERICAN BLVD W # 200BLOOMINGTON, MN, 554314420Browse MN providers · Browse ZIP 55431
- Phone
- 9528318742
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BLOOMINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| MR. SHANE ALLEN MESCHKE | LPT | 1316943152 |
| MRS. JEANNE SCHNEYER SPADACCINI | PT | 1831158013 |
| MRS. GALE G NYBERG | PT | 1801829866 |
| KARA DUPHORN | MPT | 1851318935 |
| ANDREA MARIE DIXEY | PT | 1295833911 |
| RICHARD WAYNE LUNDGREN | PT | 1033217377 |
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.