Individual
MR. MICHAEL D BECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
57 S BROADVIEW ST, SUITE 105, GREENBRIER, AR 72058-9231
(501) 679-1295
(501) 679-6806
Mailing address
57 S BROADVIEW ST, SUITE 105, GREENBRIER, AR 72058-9231
(501) 679-1295
(501) 679-6806
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2706
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210054721
—
AR
01
—
5Y097
BCBS
AR
01
—
710857801
QUALCHOICE
AR
01
—
A002
TRICARE
AR
Enumeration date
07/28/2006
Last updated
11/13/2015
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