Bevan D Blake
Medical Specialty
Professional ID
- NPI: 1114928868
- PECOS ID: 4486627973
- Enrollment ID: I20040813000416
- Credential(MD, DO, DPM): PT
- Medical School: University Of Utah School Of Medicine
- Medical School Graduation Year: 2007
Medical Practices
- Organization Name: In Motion Physical Therapy Llc
- Group Practice ID assigned by PECOS: 0345498424
- Number of Group Practice member: 4
Location
- Address1: 370 E S Temple St
- Address2: Suite 250
- City: Salt Lake City
- State: Utah
- Zip Code: 84111
- Phone Number: (801)755-9186
Location
- Address1: 6900 S 900
- Address2: Suite 100
- City: Midvale
- State: Utah
- Zip Code: 84047
- Phone Number: (801)755-9186
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):