CASSIDY RAYE BLACKHAM

SALT LAKE CITY, UT
NPI1275344897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2025-01-14
Last Update Date2025-01-14
Business Address
CASSIDY RAYE BLACKHAM
1950 E FORT UNION BLVD # 2
SALT LAKE CITY, UT 84121-6894
Phone number: 801-943-1041
Mailing Address
CASSIDY RAYE BLACKHAM
370 W 400 N APT 5
PROVO, UT 84601-2727
Phone number: 801-513-9011