| Dr Blake Fenton, DC | |
|
146 E 4600 S, Washington Terrace, UT 84405-5946 | |
| (801) 627-2023 | |
| (801) 627-2048 |
| Full Name | Dr Blake Fenton |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 146 E 4600 S, Washington Terrace, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245417773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6796488-1202 (Utah) | Primary |
| Provider Name | Arctic Chiropractic South Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184964322 PECOS PAC ID: 5496063653 Enrollment ID: O20151007003096 |
| Provider Name | Dimond Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588812580 PECOS PAC ID: 5092060111 Enrollment ID: O20181005000866 |
| Provider Name | Chiro One Wellness Center Of Anchorage South Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003508169 PECOS PAC ID: 3577923614 Enrollment ID: O20230720001844 |
| Provider Name | Chiro One Wellness Center Of Dimond Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942992011 PECOS PAC ID: 2466815535 Enrollment ID: O20230823001853 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blake Fenton, DC 146 E 4600 S, Washington Terrace, UT 84405-5946 Ph: (801) 627-2023 | Dr Blake Fenton, DC 146 E 4600 S, Washington Terrace, UT 84405-5946 Ph: (801) 627-2023 |
Adjust Your Life - Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 146 E 4600 S, Washington Terrace, UT 84405 Phone: 801-627-2023 | |
Great Basin Spine And Sports Chiropractor Medicare: Medicare Enrolled Practice Location: 134 E 4600 S, Washington Terrace, UT 84405 Phone: 801-627-2023 | |
Michael Gregory Graves, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 134 E 4600 S, Washington Terrace, UT 84405 Phone: 801-627-2023 |