Individual
KURT BEACHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, AT, ATC
Contact information
Practice address
251 N MAIN ST, CEDARVILLE, OH 45314-8501
(937) 766-4135
(937) 766-7408
Mailing address
251 N MAIN ST, CEDARVILLE, OH 45314-8501
(937) 766-4135
(937) 766-7408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003974
OH
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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