Bevan D Blake in Salt Lake City - Physical Therapist
Bevan D Blake - NPI 1114928868
Bevan D Blake is a Physical Therapist in Salt Lake City, Utah. Bevan D Blake practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Bevan D Blake is 1114928868. The last update date is 2012-10-10.
Bevan D Blake's current location address is 370 E South Temple, Salt Lake City, Utah. You can contact this provider via phone number 8015122656 and fax number 8019060336. The mailing address for Bevan D Blake is 370 E South Temple, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bevan D Blake |
|---|---|
| Address | 370 E South Temple, Salt Lake City, Utah |
| Phone Number | 8015122656 |
| Fax Number | 8019060336 |
| Sole Proprietor | N |
| Credentials | PT, DPT |
NPI Number Detail
| NPI Number | 1114928868 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2012-10-10 |
Provider Mailing Address Detail
| Address | 370 E South Temple |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841111206 |
| Phone Number | 8015122656 |
| Fax Number | 8019060336 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 344859-2401 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64-00731 | UT | UNITED HEALTHCARE | |
| 68963 | UT | PEHP | |
| 870388269BR1 | UT | EDUCATORS MUTUAL | |
| CJ9402 | UT | RAILROAD MEDICARE | |
| 34485924000001 | UT | BLUE CROSS BLUE SHIELD | |
| 5417 | UT | DMBA |
Post Comment/ Review Below
What is the unique identifier code issued to Bevan D Blake by the Centers for Medicare & Medicaid Services?
The Bevan D Blake has been assigned the NPI (National Provider Identifier) 1114928868. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bevan D Blake's facilities are situated?
The facilities of Bevan D Blake are physically located at the following address: 370 E South Temple, Salt Lake City, UT, 841111206.
What is the Bevan D Blake's specialty and taxonomy code?
The Bevan D Blake's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date was the 1114928868 assigned to Bevan D Blake?
The Bevan D Blake was issued its 1114928868 on 2005-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bevan D Blake most recently updated or revised?
The details related to Bevan D Blake, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-10.
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