Individual
KEVIN LAYNE BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5957 FASHION POINT DR, STE. 102, SOUTH OGDEN, UT 84403-5180
(801) 827-0200
Mailing address
5957 FASHION POINT DR, STE. 102, SOUTH OGDEN, UT 84403-5180
(801) 827-0200
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
7986778-2401
UT
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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