Individual
DR. KRISTIN SHIMP BEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
698 MORRISON RD, COLUMBUS, OH 43213-4419
(614) 868-1115
Mailing address
7528 UPPER CAMBRIDGE WAY, WESTERVILLE, OH 43082-7038
(614) 580-9737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010213
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2698317
—
OH
Enumeration date
01/01/2007
Last updated
11/06/2013
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