MEDICARE: COBY JEANNE PATRICE BLANCO LAT, ATC

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	2255A2300X	Athletic Trainer	0506269	NV

General Provider Information

NPI Number	:	1881002392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COBY JEANNE PATRICE BLANCO LAT, ATC

Provider Business Mailing Address
First Line	:	10758 VESTONE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-0480
Country	:	US
Telephone Number	:	702-379-8421
Fax Number	:

Provider Business Practice Location Address
First Line	:	3121 LAS VEGAS BLVD S
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-1967
Country	:	US
Telephone Number	:	702-770-3751
Fax Number	:

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

Provider Enumeration Date	:	07/28/2014
Last Update Date	:	02/20/2020

Similar Medicare Providers

1093788259 — MR. PATRICK JOSEPH BALLINGER SR. ATC, LAT
Practice Location Address:

3131 LAS VEGAS BLVD S
LAS VEGAS, NV
89109-1967

Practice Phone: 702-770-3752
Practice Fax:

1831162650 — MR. STEVE JOHN MCCAULEY ATC, LAT, CSCS
Practice Location Address:

3131 LAS VEGAS BLVD S
LAS VEGAS, NV
89109-1967

Practice Phone: 702-770-3752
Practice Fax: 702-770-4920

1538795869 — ALEKSANDRA ANDRES
Practice Location Address:

3131 LAS VEGAS BLVD S
LAS VEGAS, NV
89109-1967

Practice Phone: 702-770-3747
Practice Fax:

1457005852 — JACQUELORMAE AYSON APRN-CNP
Practice Location Address:

3131 LAS VEGAS BLVD S
LAS VEGAS, NV
89109-1967

Practice Phone: 702-770-3747
Practice Fax:

1134158587 — DR. AARON B BULLEIGH D.D.S.
Practice Location Address:

5693 S JONES BLVD STE 113
LAS VEGAS, NV
89118-1967

Practice Phone: 702-838-6684
Practice Fax:

1629138219 — GOOD SAMARITAN HEALTHCARE, LLC
Practice Location Address:

5693 S JONES BLVD STE 118
LAS VEGAS, NV
89118-1967

Practice Phone: 702-406-6604
Practice Fax: 702-791-5600

Directions to “ COBY JEANNE PATRICE BLANCO LAT, ATC” 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.