IndividualActive
Timothy Blaylock
NPI 1104765254 · Paramedic · Fort Collins, CO
Provider details
- NPI number
- 1104765254
- Entity type
- Individual
- Primary specialty
- ParamedicEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 057868 (CO)
Mailing address
4856 Innovation Dr
Fort Collins, CO 80525-5539
Registry dates
- Enumerated
- 2026-03-25
- Last updated
- 2026-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.