| NPI | 1952137598 |
|---|---|
| Other Name | KELSEY BLAKE, CCC-SLP |
| Entity Type | Organization |
| Authorized Contact | KELSEY A BLAKE Speech Language Pathologist 435-262-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |