| Doctor Name: | DAVID BLANCHARD |
| NPI Number: | 1104961697 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 9177 |
| Business Practice Address: | 105 Edwards Village Blvd A-203 Edwards, CO - 816329914 |
| Business Phone Number: | 9799264600 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2637, EDWARDS |
| State: | CO |
| Postal Code: | 816322637 |
| Phone Number: | 9709264600 |
| Fax Number: | |
| NPI Enumeration Date: | 02/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 9177 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |