Bevan D Blake is a Physical Therapist based in Salt Lake City, UT. Bevan D Blake practices in Salt Lake City, UT and has the professional credentials of PT,DPT. The NPI Number for Bevan D Blake is 1114928868 and holds a License No. 344859-2401 (Utah).
The current practice location address for Bevan D Blake is 370 E South Temple, Salt Lake City, UT and can be reached out via phone at 801-512-2656 and via fax at 801-906-0336.
Identifier | Type | State | Issuer |
---|---|---|---|
64-00731 | 01 | UT | UNITED HEALTHCARE |
68963 | 01 | UT | PEHP |
870388269BR1 | 01 | UT | EDUCATORS MUTUAL |
CJ9402 | 01 | UT | RAILROAD MEDICARE |
34485924000001 | 01 | UT | BLUE CROSS BLUE SHIELD |
5417 | 01 | UT | DMBA |
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