Search › Utah › 225100000X
Matthew Bevacqua, DPT
NPI 1619358439 · on the registry since 2015 · sole proprietor
Practice
- Address
- 65 E Wadsworth Park Dr Ste 230
Draper, UT 84020 - Phone
- (385) 308-8034
- Clinicians at this address
- 80
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
225100000X
225100000X
225100000X
225100000X
225100000X
225100000X
225100000X
225100000X - Licence states on file
- RI, ME, CT, MA, NY, DE, NJ, MI, DC, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-03
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