Individual
MR. MICHAEL D BECKHAM
Active
Individual
MR. MICHAEL D BECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
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
Update your record
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