Blankespoor, Ethan

Blankespoor, Ethan is an individual health care provider with primary practice located at 3800 American Blvd W # 200 , Bloomington MN 55431-4420. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Blankespoor, Ethan can be contacted via phone (952) 831-8742.

Contact Information

Primary practice address
3800 American Blvd W # 200 Bloomington MN 55431-4420
Phone: (952) 831-8742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 1974 South Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11163 Minnesota

Profile Details

NPI number 1992231732
LBN Legal business name Blankespoor, Ethan
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Mar 5th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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