IndividualActive
Mark Beese, ATC, LAT
NPI 1992163166 · Specialist · Salt Lake City, UT
Mark Beese, ATC, LAT is a Specialist provider in Salt Lake City, UT (NPI 1992163166).
Provider details
- NPI number
- 1992163166
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
- License
- 7726414-4810 (UT)
Practice location
590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone: (801) 587-1473
Fax: (801) 587-7115
Street-level locationGet directions
Mailing address
580 Wakara Way
Salt Lake City, UT 84108
Registry dates
- Enumerated
- 2016-02-03
- Last updated
- 2016-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.