MEDICARE: ODARTEY BLANKSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner		NV

General Provider Information

NPI Number	:	1265831549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ODARTEY BLANKSON

Provider Business Mailing Address
First Line	:	47 E AGATE AVE UNIT 204
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-6060
Country	:	US
Telephone Number	:	708-646-6933
Fax Number	:

Provider Business Practice Location Address
First Line	:	47 E AGATE AVE UNIT 204
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-6060
Country	:	US
Telephone Number	:	708-646-6933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2014
Last Update Date	:	08/22/2014

Similar Medicare Providers

1982228599 — TAMARA ARNOLD
Practice Location Address:

47 E AGATE AVE
LAS VEGAS, NV
89123-6060

Practice Phone: 702-344-3473
Practice Fax:

1164472411 — MOBILE MEDICAL SERVICES INC.
Practice Location Address:

3441 W SAHARA AVE STE D5
LAS VEGAS, NV
89102-6060

Practice Phone: 702-733-1900
Practice Fax: 702-737-9354

1396087003 — MALKIA LOCKETT
Practice Location Address:

6060 CONROE CT
LAS VEGAS, NV
89118-0105

Practice Phone: 702-741-0447
Practice Fax:

1598106080 — SILKE EDDA RUDOLF-ANDRE
Practice Location Address:

9320 EVERGREEN CANYON DR
LAS VEGAS, NV
89134-6060

Practice Phone: 702-526-9801
Practice Fax:

1356794770 — CYRENA JANE WAREHAM
Practice Location Address:

6060 PADDLEBOAT ST
NORTH LAS VEGAS, NV
89031-4252

Practice Phone: 210-557-7427
Practice Fax:

1881183416 — CHEQUOYA LE'NIECE GAITHER
Practice Location Address:

6060 CONROE CT
LAS VEGAS, NV
89118-0105

Practice Phone: 702-807-5039
Practice Fax:

Directions to “ ODARTEY BLANKSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.