Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Mae Blanco

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710469341

Ellen Mae Blanco is a Student in an Organized Health Care Education/Training Program in Kettering, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2450 Bending Willow Dr
Kettering, OH 45440-1108
Phone: (937) 751-5380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1710469341
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 30, 2018
Last updated in NPPESAugust 30, 2018
Mailing address2450 Bending Willow Dr, Kettering, OH 45440-1108

Other providers in Kettering