Individual
DR. KEVIN BLAKE BEADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1485 E FLORENCE BLVD STE 105, CASA GRANDE, AZ 85122-4797
(520) 494-3058
(520) 214-5059
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.027038
IL
225100000X
Physical Therapist
Primary
LPT-32707
AZ
Other
Enumeration date
12/08/2022
Last updated
08/25/2025
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