Individual
MR. KURT EUGENE BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2865 N REYNOLDS RD STE 110, TOLEDO, OH 43615-2069
(419) 578-7530
(419) 539-0288
Mailing address
224 W 7TH ST, PERRYSBURG, OH 43551-1555
(419) 873-1935
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002253
OH
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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