Individual
KENNETH BESHIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4407 AMARILLO ST, BLYTHEVILLE, AR 72315-5702
(870) 532-2229
(870) 532-8732
Mailing address
4407 AMARILLO, BLYTHEVILLE, AR 72315-5702
(870) 532-2229
(870) 532-8732
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3837
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204352721
—
AR
Enumeration date
10/01/2014
Last updated
10/01/2014
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