# MR. JOHN J BEATY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013139146
- **Gender:** Man
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 10075 | WI | Yes |
| 225100000X | Physical Therapist | 13230-24 | WI | — |
| 225100000X | Physical Therapist | 596 | NE | — |
| 2251G0304X | Geriatric Physical Therapist | 10075-024 | WI | — |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 10/30/2020