Individual provider · Type 1 NPI

Mark Eric Beese, ATC, LAT

Specialist · Salt Lake City, UT

NPI number 1992163166 Active

Practice location

590 S Wakara Way
Salt Lake City, UT 84108-1200

Call (801) 587-1473 Map

Fax (801) 587-7115

Mailing address

580 Wakara Way
Salt Lake City, UT 84108

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X7726414-4810 (UT)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1992163166

Mark Eric Beese, ATC, LAT's National Provider Identifier is 1992163166, issued on Feb 3, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 3, 2016.