Individual
CHRISTOPHER BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2805 CAMPUS DR STE 465, PLYMOUTH, MN 55441-2680
(952) 946-9777
Mailing address
645 ESSEN LN, CHASKA, MN 55318-2505
(786) 768-9072
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
04/20/2026
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