IndividualActive
Evan Blankenship
NPI 1952180648 · Health & Wellness Coach · Shiloh, IL
Provider details
- NPI number
- 1952180648
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- A-3527618
Specialties & taxonomies
Other Service Providers
Practice location
1190 Fortune Blvd
Shiloh, IL 62269-7358
Phone: (314) 338-1685
Approximate (ZIP-level) locationGet directions
Mailing address
1190 Fortune Blvd
Shiloh, IL 62269-7358
Registry dates
- Enumerated
- 2023-09-22
- Last updated
- 2023-09-22
- Certified
- 2023-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.