Individual
DR. ETHAN BLANKESPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3800 AMERICAN BLVD W # 200, BLOOMINGTON, MN 55431-4420
(952) 831-8742
Mailing address
6605 NICOLLET AVE, RICHFIELD, MN 55423-2463
(612) 872-2700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11163
MN
2251X0800X
Orthopedic Physical Therapist
1974
SD
Other
Enumeration date
05/11/2017
Last updated
03/05/2020
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