BEVAN BLAKE, PT, DPT
Physical Therapist
Active
Individual
NPI: 1114928868
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 344859-2401 (UT) |
Frequently Asked Questions
NPI 1114928868 is the National Provider Identifier for BEVAN BLAKE, PT, DPT, a Physical Therapist provider located in Salt Lake City, UT. This NPI was enumerated on August 3, 2005.
BEVAN BLAKE, PT, DPT practices at 370 E SOUTH TEMPLE, #250, Salt Lake City, UT 84111.
Quick Facts
- NPI
- 1114928868
- Type
- Individual
- Enumerated
- Aug 3, 2005
- Last Updated
- Oct 10, 2012
Nearby Providers
-
DAYWEST HEALTHCARE SERVICES
Skilled Nursing Facility
-
DR. JAMAL HEJAZI, MD
Psychiatry & Neurology - Child & Adolescent Psychiatry
-
MR. BRENT JACKSON
Counselor
-
SCOTT SOULIER, DPM, MSPH
Podiatrist - Foot & Ankle Surgery
-
DR. FAWAD TANVIR, MD
Internal Medicine - Infectious Disease