Individual
KILEY BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5417 ALTAMESA BLVD, FORT WORTH, TX 76123-2804
(817) 292-8886
Mailing address
5417 ALTAMESA BLVD, FORT WORTH, TX 76123-2804
(817) 292-8886
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2120866
TX
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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