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Bevan Blake, PT, DPT
NPI 1114928868 · on the registry since 2005
Practice
- Address
- 370 E South Temple
#250
Salt Lake City, UT 84111 - Phone
- (801) 512-2656
- Fax
- (801) 906-0336
- Organisation at this address
- Journease, Llc
Barbara G. Babson
Western Wellness Llc
Salt Lake Therapy, Pllc
Ruth P. Manville, Lcsw, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah