Whalio Doctors

NPI 1093013427

Keith Bevan, TRSCTRS

Practitioner Recreation Therapist Salt Lake City, UT

Practice location

Address
5965 S 900 E, Salt Lake City, UT 84121-1720
Phone
(801) 263-7100

Registered specialties

Recreation Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 106526-4002 (UT)

Registry record

NPI
1093013427
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Mar 2011
Record last updated
9 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.