Individual
AUSIE BEAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
GA007541
GA
225100000X
Physical Therapist
Primary
PTH5113
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA007541
STATE LISC NUMBER
GA
Enumeration date
11/03/2006
Last updated
04/08/2026
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