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Contact Information

KEVIN L BLANCHARD, PT
5957 FASHION POINT DR
STE. 102
SOUTH OGDEN, UT84403-5180
 Phone: 801-827-0200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KEVIN L BLANCHARD · (Male)

NPI Number 1497198311
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 04/10/2013
Last updated 04/10/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 7986778-2401
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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