Individual
MIAH BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3309 BULAH AVE, KETTERING, OH 45429-4013
(937) 626-9995
Mailing address
3309 BULAH AVE, KETTERING, OH 45429-4013
(937) 626-9995
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA013402
OH
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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