David Blake
David Blake is a Physical Therapist in Private Practice in Salt Lake City, Utah. Qualified in 2024, 2 years ago. Practices with Mountain Land Rehabilitation LLC, a 203-clinician group and accepts Medicare assignment.
- Years since qualifying
- 2
- In the registry since
- 2024
Practice location Address checks out
2295 S Foothill Dr Ste 1Salt Lake City, UT 84109-4006
Phone: (801) 486-7542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1083467179 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 8, 2024 |
| Last updated in NPPES | April 8, 2024 |
| Certification date | April 8, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Mountain Land Rehabilitation Llc — 203 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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