Individual
NICHOLAS ANDREW BECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 E GRAY ST, LOUISVILLE, KY 40202-3900
(502) 587-9350
Mailing address
9324B LOCH LEA LN, LOUISVILLE, KY 40291-1453
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007127
KY
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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