KEVIN BEACH PTA, ATC/L
Individual Provider (NPI-1)
Active
Specialist/Technologist, Athletic Trainer
Provider Information
- NPI Number
1144473406- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA, ATC/L
- Status
- Active
Contact & Location
- Address
- 3813 S MADISON ST, MUNCIE, IN, 473025758
- Phone
- (765) 751-3300
Specialties & Taxonomies
Physical Therapy Assistant
License: IN #06003172
Specialist/Technologist, Athletic Trainer
Primary License: IN #36000501A