Whalio Doctors

NPI 1013003771

Edward A. Blanco, DC

Practitioner Chiropractor Louisville, KY

Practice location

Address
12464 La Grange Rd, Louisville, KY 40245-1901
Phone
(502) 205-2090
Fax
(502) 205-2091

Registered specialties (2)

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence 290033 (KY)
Chiropractor
Chiropractic Providers Taxonomy 111N00000X Licence DC0000001562 (TN)

Registry record

NPI
1013003771
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Oct 2006
Record last updated
17 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.