Individual
HAILEY A BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 MARK DR, WAHOO, NE 68066-4023
(402) 301-7350
Mailing address
8620 LEXINGTON AVE APT 244, LINCOLN, NE 68505-3660
(402) 570-3834
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1867
NE
225200000X
Physical Therapy Assistant
Primary
1876
NE
Other
Enumeration date
02/12/2021
Last updated
02/16/2021
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