Cassidy Raye Blackham
Cassidy Raye Blackham is a Physical Therapy Assistant in Salt Lake City, Utah. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1950 E Fort Union Blvd # 2Salt Lake City, UT 84121-6894
Phone: (801) 943-1041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X |
|---|
Record details
| NPI number | 1275344897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 14, 2025 |
| Last updated in NPPES | January 14, 2025 |
| Certification date | January 14, 2025 |
| Mailing address | 370 W 400 N Apt 5, Provo, UT 84601-2727 |
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