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

Jenifer Blanco

Individual provider Physical Therapist · NPI 1689037459

Jenifer Blanco is a Physical Therapist in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada and New York.

Licensed in
NV, NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3050 E Bonanza Rd Ste 110B
Las Vegas, NV 89101-3706
Phone: (702) 754-0606
Fax: (702) 754-0605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4116 (NV)
Physical Therapist Taxonomy 225100000X · Licence 036582 (NY)

Record details

NPI number1689037459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2016
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

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