Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEVAN D BLAKE, PT, DPT
ActiveBEVAN D BLAKE, PT, DPT is a Physical Therapy Assistant healthcare provider located in SALT LAKE CITY, Utah. NPI 1114928868 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1114928868
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2005 (20.841381361543 yrs)
- Last Updated
- Oct 10, 2012
- License
-
344859-2401 (UT)
Practice Information
- Address
-
370 E SOUTH TEMPLE#250SALT LAKE CITY, UT, 841111206Browse UT providers · Browse ZIP 84111
- Phone
- 8015122656
- Fax
- 8019060336
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| GAIL MARIETTA | PT | 1952302630 |
| STEVEN G CRANDALL | PT, DPT, OCS | 1154322816 |
| RYAN R FUHRIMAN | PT, DPT, ATC | 1609877372 |
| CHERYL A FARNSWORTH | MPT | 1720089485 |
| BONNIE ROSS BUTLER | PT,OCS,CSCS | 1255332938 |
| TYLER M HANSON | PT, DPT, OCS | 1922009695 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.