Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake A. Dickenson, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1932799160

Blake A. Dickenson, DO is a Physical Medicine & Rehabilitation Physician in Salt Lake City, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

85 N Medical Dr
Salt Lake City, UT 84112-1100
Phone: (801) 581-2121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Western University Of Health Sciences Comp-Northwest, Lebanon, OR 97355 — (541) 259-0235

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 14172601-1204 (UT)

Record details

NPI number1932799160
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 21, 2021
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

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