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Individual

ISAAC LEE BEITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
509 S BROADWAY, OAK GROVE, MO 64075-8104
(816) 625-4967
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 702-4389

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP032670T
NC
225100000X
Physical Therapist
CP035262T
GA
225100000X
Physical Therapist
CP039911T
OR
225100000X
Physical Therapist
Primary
CP055700T
MO

Other

Enumeration date
07/15/2024
Last updated
04/30/2026
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